US2004072838A1PendingUtilityA1

Thiazole and oxazole derivatives as activators of human peroxisome proliferator activated receptors

Priority: Dec 20, 2000Filed: Jun 20, 2001Published: Apr 15, 2004
Est. expiryDec 20, 2020(expired)· nominal 20-yr term from priority
C07D 417/06C07D 263/32C07D 417/12C07D 277/24C07D 417/10C07D 277/26C07D 277/28
42
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Claims

Abstract

The present invention provides a compound of formula (1) wherein R 1 -R 5 , R 25 , R 26 , Y and X 2 are defined as in claim 1. The compounds activate human peroxisome proliferator activated receptors (hPPARs) and arc useful for the treatment of associated disorders such as cardiovascular disease and hypercholesteremia.

Claims

exact text as granted — not AI-modified
1 . A compound of formula (I) or a pharmaceutically acceptable salt, solvate, or hydrolyzable ester thereof wherein:  
       
         
           
           
               
               
           
         
         R 1  and R 2  are independently hydrogen or C 1-3  alkyl;  
         X 2  is O, S, or CH 2 ;  
         R 3 , R 4 , and R 5  are independently H, C 1-3 alkyl, OCH 3 , CF 3 , OCF 3 , CN, allyl, or halogen;  
         Y is S or O;  
         each R 25  is independently CH 3 , OCH 3 , CF 3 , or halogen;  
         y is 0, 1, 2, 3, 4 or 5; and  
         R 26  is selected from the group consisting of the moieties A through K depicted below:  
         
           
             
             
                 
                 
             
           
         
         wherein R 12  is selected from the group consisting of C 1-6 alkyl, C 1-6 alkylenearyl, and the moieties depicted below in Group II,  
         
           
             
             
                 
                 
             
           
         
         wherein R 17  and R 18  are independently hydrogen, halogen, hydroxy, —CN, C 1-6 alkyl, C 1-6  perfluoroalkyl, C 1-6 acyl, —OC 1-6 alkyl, perfluoroOC 1-6 alkyl, or C 1-6 hydroxyalkyl;  
         R 19  is hydrogen or C 1-6 alkyl;  
         R 21  is C 1-6 alkyl, —C 1-6 alkylenearyl, aryl, or -aryl-heteroaryl;  
         R 22  is C 1-6 alkyl, aryl, or —C 1-6 alkylenearyl;  
         R 23  is C 1-6 alkyl, C 3-6 cycloalkyl, or aryl;  
         R 24  is C 1-6 alkyl, —C 1-6 alkylenearyl, C 3-6 cycloalkyl, or aryl;  
         
           
             
             
                 
                 
             
           
         
         wherein Z is O, N or S (note that when Z is N, the depicted bond can be attached to the nitrogen in the ring as well as any of the carbons in the ring);  
         
           
             
             
                 
                 
             
           
         
         wherein R 20  is C 1-6 alkyl, aryl, —OC 1-6 alkyl, hydroxy, C 1-6 hydroxyalkyl, or 1-alkoxyC 1-6 alkyl;  
         
           
             
             
                 
                 
             
           
         
         wherein R 13  and R 14  are independently hydrogen, halogen, CN, perfluroC 1-6 alkyl, perflurOC 1-6 alkyl, C 1-6 alkyl, —OC 1-6 alkyl, —C 1-6 alkyleneOC 1-6 alkyl, —SC 1-6 alkyl, or aryl;  
         
           
             
             
                 
                 
             
           
         
         wherein R 21  is independently as defined above;  
         
           
             
             
                 
                 
             
           
         
         wherein R 15  and R 16  are independently hydrogen, C 1-6 alkyl, C 3-6 cycloalkyl optionally substituted with 1 or 2 C 1-3 alkyl groups, or R 12  as defined above;  
         
           
             
             
                 
                 
             
           
         
         I  
         —(CH 2 ) n Ph  
         wherein n is 1-3  
         J  
         —O—R 21    
         wherein R 21  is independently as defined above; and  
         K  
         —S—R 21    
         wherein R 21  is independently as defined above.  
       
     
     
         2 . A compound according to  claim 1  wherein R 1  and R 2  are independently H or CH 3 .  
     
     
         3 . A compound according to  claim 2  wherein R 1  and R 2  are either both H or both CH 3 .  
     
     
         4 . A compound according to any of claims  1 - 3  wherein X 2  is O or S.  
     
     
         5 . A compound according to any of claims  14  wherein R 3  is CH 3  or H.  
     
     
         6 . A compound according to any of claims  1 - 5  wherein R 4  and R 5  are H.  
     
     
         7 . A compound according to any preceding claim wherein Y is S.  
     
     
         8 . A compound according to any of claims  1 - 8  wherein y is 1 or 2.  
     
     
         9 . A compound according to  claim 8  wherein each R 5  is independently halogen or CF 3 .  
     
     
         10 . A compound according to any preceding claim wherein R 26  is selected from the group consisting of  
       
         
           
           
               
               
           
         
         where in R 12 , Z, R 13 , and R 14  are as defined in  claim 1 .  
       
     
     
         11 . A compound according to any preceeding claim wherein R 13  and R 14  are independently fluorine, bronime, phenyl, thienyl, CF 3 , OCF 3 , OCH 3 , SCH 3 , or t-butyl, R 17  and R 18  are independently hydrogen, OH, CN, OC 1-3 alkyl, halogen, CF 3 , COCH 3 , CH(OH)CH 3 , or OCF 3 , R 21  is phenyl optionally substituted by methyl or CN, —C 1-3 alkylenephenyl, or phenyl-5-methyl-1,2,4-oxadiazol-3-yl, R 22  is C 1-6  alkyl, phenyl, or benzyl, R 23  is C 1-6 alkyl, furanyl, thienyl, phenyl optionally substituted by a halogen a methoxy or a dimethylamino group, methoxymethylcyclopropyl, or C 3-6 cyclalkyl, and R 24  is H, C 1-6 alkyl, cyclohexyl, m-methoxyphenyl, p-fluorophenyl, or —CH 2 CH 2 -phenyl.  
     
     
         12 . A compound according to  claim 11  wherein R 26  is  
       
         
           
           
               
               
           
         
         and R 12  is selected from the moieties shown in Group IV.  
         
           
             
             
                 
                 
             
           
         
       
     
     
         13 . A compound according to  claim 12  wherein R 17  is fluorine, chlorine, OC 1-3 alkyl or COCH 3  and R 18  is OCH 3  or hydrogen, and R 19  is hydrogen.  
     
     
         14 . A compound according to  claim 10  wherein R 26  is  
       
         
           
           
               
               
           
         
       
     
     
         15 . A compound according to  claim 14  wherein R 14  is thienyl, OCH 3 , OCF 3 , CF 3 , or fluorine, and R 13  is hydrogen or fluorine.  
     
     
         16 . A compound of formula (I) selected from: 
 2-[4-({[4-{[4-(4-acetylphenyl)-1-piperazinyl]methyl}-2-(4-fluorophenyl)1,3-thiazol-5-yl]methyl}sulfanyl)-2-methylphenoxy]-2-methylpropanoic acid,    2-methyl-2-{2-methyl-4-[({4-[4-(methylsulfanyl)benzyl]-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    {2-methyl-4-[({4-(3-thienylmethyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    {4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2,5-dimethylphenoxy}acetic acid,    2-{4-[({4-{[4-(4-acetylphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy)propanoic acid,    2-{4-[({4-{[4-(4-acetylphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-ethylphenoxy}propanoic acid,    2-{2-methyl-4-[({4-(2-thienylmethyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    2-{4-[({4-{[4-(4-ethoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    2-methyl-2-{2-methyl-4-[({4-{[4-(phenoxycarbonyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({4-{[4-(4-acetylphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-propylphenoxy}propanoic acid,    {2-methyl-4-[({4-[4-(3-thienyl)benzyl]-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    2-(4-{[(2-(4-fluorophenyl)-4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-1,3-thiazol-5-yl)methyl]sulfanyl}-2-methylphenoxy)-2-methylpropanoic acid,    2-{4-[({4-{[4-(4-acetylphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}-2-methylpropanoic acid,    2-{4-[({4-{[4-(2,4-dimethoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    {2-isopropyl-4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    2-{4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-propylphenoxy}propanoic acid,    2-{4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    2-{2-ethyl-4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    2-methyl-2-{2-methyl-4-[({4-[4-(trifluoromethyl)benzyl]-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({4-{[4-(4-fluorophenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}-2-methylpropanoic acid,    {4-[({4-{[4-(4-acetylphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-propylphenoxy}acetic acid,    {4-[({4-([1,1′-biphenyl]-4-ylmethyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}acetic acid,    2-{4-[({4-{[4-(4-fluorophenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    {4[({4-{[4-(3-methoxyphenyl)-1-piperazinyl]methyl}-2-4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}acetic acid,    2-{2-methyl-4-[({4-(3-thienylmethyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    {4-[({4-{[4-(2-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}acetic acid,    2-{2-isopropyl-4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({4-(4-tert-butylbenzyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}-2-methylpropanoic acid,    2-{4-[({4-{[4-(3-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    2-{4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2,3-dimethylphenoxy}propanoic acid,    2-{4-[({4-{[4-(4-chlorophenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    2-{4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-fluorophenoxy}propanoic acid,    2-{4-[({4-{[4-(2,4-difluorophenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    {4-[({4-(2,4-difluorobenzyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}acetic acid,    2-{4-[({4-{[4-(4-acetylphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}-2-methylpropanoic acid,    2-methyl-2-{2-methyl-4-[({4-(3-thienylmethyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl)methyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    {2-ethyl-4-[({4-{4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    2-{4-[({4-(4-methoxybenzyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}-2-methylpropanoic acid,    2-methyl-2-{4-[({4-{[4-(2-pyrazinyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}-2-methylpropanoic acid,    2-{4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}-2-methylpropanoic acid,    2-methyl-2-{2-methyl-4-[({4-[4-(trifluoromethoxy)benzyl]-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({4-{[4-(4-isopropoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    2-{2-methyl-4-[({4-{[4-(2-pyrimidinyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid.    {2-methyl-4-[({4-(3-phenylpropyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    [4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-(trifluoromethyl)phenoxy]acetic acid,    {2-methyl-4-[({4-{[(5-methyl-1,2,4-oxadiazol-3-yl)phenoxy]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    {4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-5-chloro-2-methylphenoxy}acetic acid,    {4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}acetic acid,    {4-[({4-(4-methoxybenzyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}acetic acid,    {2,5-dimethyl-4-[({4-(3-thienylmethyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    {2-methyl-4-[({4-{[4-(2-pyrazinyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    {4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2,3-dimethylphenoxy}acetic acid,    [4-({[2-(4-chlorophenyl)-4-methyl-1,3-thiazol-5-yl]methyl}sulfanyl)-2-methylphenoxy]acetic acid,    {2-methyl-4-[({4-[(4-methyl-2-thienyl)methyl]-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    {4-[({4-benzyl-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-bromophenoxy}acetic acid,    {2-methyl-4-[({4-[(2-phenylethoxy)methyl]-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl)methyl)sulfanyl]phenoxy}acetic acid,    {2-methyl-4-[({4-(2-phenylethyl)-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid, and    pharmaceutically acceptable salts, solvates, and hydrolyzable esters thereof.    
     
     
         17 . A compound of formula (I) selected from: 
 2-methyl-2-{2-methyl-4-[({4-(3-thienylmethyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    {2-ethyl-4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}acetic acid,    2-{4-[({4-(4-methoxybenzyl)2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}-2-methylpropanoic acid,    2-methyl-2-{4-[({4-{[4-(2-pyrazinyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl-1,3-thiazol-5-ylmethyl)sulfanyl]phenoxy}propanoic acid,    2-{4-[({[4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}-2-methylpropanoic acid,    2-{4-[({4-{[4-(4-methoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}-2-methylpropanoic acid,    2-methyl-2-{2-methyl-4-[({4-[4-(trifluoromethoxy)benzyl]-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy)propanoic acid,    2-{4-[({4-{[4-(4-isopropoxyphenyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]-2-methylphenoxy}propanoic acid,    2-{2-methyl-4-[({4-{[4-(2-pyrimidinyl)-1-piperazinyl]methyl}-2-[4-(trifluoromethyl)phenyl]-1,3-thiazol-5-yl}methyl)sulfanyl]phenoxy}propanoic acid, and    pharmaceutically acceptable salts, solvates, or hydrolyzable esters thereof    
     
     
         18 . A compound according to any preceding claim which is a hPPARδ agonist.  
     
     
         19  A compound according to  claim 18  which is also a hPPARα or hPPARgamma agonist.  
     
     
         20 . A compound according to any preceding claim which is a hPPAR pan agonist.  
     
     
         21 . A compound according to any of claims  1 - 20  for use in therapy.  
     
     
         22 . A pharmaceutical composition comprising a compound according to any of claims  120 .  
     
     
         23 . A pharmaceutical composition according to  claim 22  further comprising a pharmaceutically acceptable diluent or carrier.  
     
     
         24 . Use of a compound according to any of claims  1 - 20  for the manufacture of a medicament for the treatment of a hPPAR disease or condition.  
     
     
         25 . Use according to  claim 24  wherein the hPPAR mediated disease or condition is dyslipidemia, syndrome X, heart failure, hypercholesteremia, cardiovascular disease, type II diabetes mellitus, type I diabetes, insulin resistance, hyperlipidemia, obesity, anorexia bulimia and anorexia nervosa  
     
     
         26 . A method of treating a hPPAR mediated disease or condition in a patient comprising the administration of a therapeutically effective amount of a compound according to any of claims  1 - 20 .  
     
     
         27 . A method according to  claim 26  wherein the hPPAR mediated disease or condition is dyslipidemia, syndrome X, heart failure, hypercholesteremia, cardiovascular disease, type II diabetes mellitus, type I diabetes, insulin resistance, hyperlipidemia, obesity, anorexia bulimia and anorexia nervosa.

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