US2016137607A1PendingUtilityA1

Autophagy Inhibitors

48
Assignee: VAN ANDEL RES INSTPriority: May 9, 2011Filed: Nov 19, 2015Published: May 19, 2016
Est. expiryMay 9, 2031(~4.8 yrs left)· nominal 20-yr term from priority
C07D 221/16C07D 219/10C07D 401/12C07D 219/12C07D 471/04C07D 219/08
48
PatentIndex Score
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Claims

Abstract

The present invention relates to compounds of formulas III and V that are useful as pharmaceutical agents, particularly as autophagy inhibitors.

Claims

exact text as granted — not AI-modified
1 . A compound of formula III 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof, wherein:
 Q is CH or N; 
 R N  is —H 
 R 1  is —H, —F, —Cl, —Br, or —CF 3 ; 
 R 2  is —CH(R 2-1 ) n1 —(C 2 ) n2 —W n3 —X;
 n 1  is 0 or 1; 
 R 2-1  is —H, C 1 -C 3  alkyl, or C 3  cycloalkyl; 
 n 2  is 1 or 3; 
 n 3  is 0 or 1, with the provisos that (1) when n 1  or n 2  are other than 0, n 3  must be 0, (2) when n 3  is 1, n 1  and n 2  are both 0, (3) when n 1  is 1, X 1-2  and X 1-3  must be taken together with the attached nitrogen atom to form a monocyclic structure; 
 W is a cyclic structure of three through seven atoms consisting of carbon, nitrogen, and sulfur, with the proviso that there not be more than one nitrogen or sulfur atom in the ring optionally containing 1 through 3 double bonds; 
 X is —NX 1-2 X 1-3 , where X 1-2  is H, linear or branched C 1 -C 4  alkyl, cyclopropyl, cyclobutyl —SO 2 —X 1-4  where X 1-4  is selected from —H and C 1 -C 3  alkyl, and —CO—X 1-4  where X 1-4  is as defined above; and X 1-3  is linear or branched C 1 -C 4  substituted alkyl with one 
 or 
 
 R 3  is —H, —F, —Cl, —Br, —CF 3 , —OR 3-1  where R 3-1  is —H, C 1 -C 6  alkyl or —CO—R 3-2  where R 3-2  is C 1 -C 3  alkyl or phenyl, —N(R 3-1 ) 2  where the R 3-1  are the same or different and are as defined above, —SR 3-1  where R 3-1  is as defined above, —S(O)—R 3-1  where R 3-1  is as defined above, or —SO 2 —R 3-1  where R 3-1  is as defined above; 
 R 4  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H, C 1 -C 6  alkyl or —CO—R 4-2  where R 4-2  is C 1 -C 3  alkyl or phenyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, —SR 4-1  where R 4-1  is as defined above, —S(O)—R 4-1  where R 4-1  is as defined above, or —SO 2 —R 4-1  where R 4-1  is as defined above; 
 R 5  is —H, —F, —Cl, —Br, —CF 3 , —OR 5-1  where R 5-1  is —H, C 1 -C 6  alkyl or —CO—R 5-2  where R 5-2  is C 1 -C 3  alkyl or phenyl, —N(R 5-1 ) 2  where the R 5-1  are the same or different and are as defined above, —SR 5-1  where R 5-1  is as defined above, —S(O)—R 5-1  where R 5-1  is as defined above, or —SO 2 —R 5-1  where R 5-1  is as defined above;
 with the proviso that one of R 1 , R 3 , R 4  and R 5  must be other than —H. 
 
 
     
     
         2 - 10 . (canceled) 
     
     
         11 . The compound of  claim 1 , wherein
 Q is CH or N;   R N  is —H;   R 1  is —H, —F, —Cl, —Br, or —CF 3 ;   R 2  is —CH(R 2-1 )—(CH 2 ) n2 —W n3 —X; wherein:
 R 2-1  is —H, C 1 -C 3  alkyl, or C 3  cycloalkyl; 
 n 2  is 1 or 3; 
 n 3  is 0 
 X is 
   
       
         
           
           
               
               
           
         
         
           where X 1-2  is selected from the group consisting of H, linear or branched C 1 -C 4  alkyl, cyclopropyl, cyclobutyl , and —SO 2 —X 1-4  where X 1-4  is selected from —H and C 1 -C 3  alkyl; and X 1-3  is a linear or branched C 1 -C 4  alkyl substituted with one cyclopropyl; 
         
         R 3  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above; 
         R 4  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above; 
         R 5  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above;
 with the proviso that one of R 1 , R 3 , R 4 , and R 5  must be other than —H. 
 
       
     
     
         12 . The compound of  claim 11 , wherein R 2  is selected from the group consisting of: 
       
         
           
           
               
               
           
         
       
     
     
         13 . The compound of  claim 11 , wherein R 2  is selected from the group consisting of: 
       
         
           
           
               
               
           
         
       
     
     
         14 . A compound of formula III 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof, wherein:
 Q is CH or N; 
 R N  is —H; 
 R 1  is —H, —F, —Cl, —Br, or —CF 3 ; 
 R 2  is —CH(R 2-1 ) n1 —(CH 2-1 ) n2 —W n3 —W wherein:
 n 1  is 0 or 1; 
 R 2-1  is —H, C 1 -C 3  alkyl, or C 3  cycloalkyl; 
 n 2  is 1 or 3; 
 n 3  is 0 or 1, with the provisos that (1) when n 1  or n 2  are other than 0, n 3  must be 0, (2) when n 3  is 1, n 1  and n 2  are both 0, (3) when n 1  is 1, X 1-2  and X 1-3  must be taken together with the attached nitrogen atom to form a monocyclic structure; 
 W is a cyclic structure of three through seven atoms consisting of carbon, nitrogen, and sulfur, with the proviso that there not be more than one nitrogen or sulfur atom in the ring optionally containing 1 through 3 double bonds; 
 X is —NX 1-2 X 1-3 , where the X 1-2  and X 1-3  are taken together with the attached nitrogen atom to form a monocyclic structure that is piperazin-1-yl optionally substituted in the 4-position with C1-C3 alkyl, —CO—(C 1 -C 3  alkyl), —SO 2 —H, or —SO 2 —(C 1 -C 3 ) alkyl; piperidin-1-yl or piperidin-4-yl both optionally substituted with one —F, —Cl, C 1 -C 3  alkyl, —CO—(C 1 -C 3  alkyl), —SO 2 —H, or —SO 2 —(C1-C3)alkyl; or pyrrolidin-1-yl, pyrrolinin-2-yl, or pyrrolidin-3-yl all optionally substituted with one —F, Cl, Cl-C 3  alkyl, —CO—(C 1 -C 3  alkyl), —SO 2 —H, or —SO2—(C 1 -C 3 )alkyl; 
 
 R 3  is —H, —F, —Cl, —Br, —CF 3 , —OR 3-1  where R 3-1  is —H, C 1 -C 6  alkyl, or —CO—R 3-2  where R 3-2  is C 1 -C 3  alkyl or phenyl, —N(R 3-1 ) 2  where the R 3-1  are the same or different and are as defined above, —SR 34  where R 3-1  is as defined above, —S(O)—R 3 . 1  where R 3-1  is as defined above, or —SO 2 - R 3-1  where R 3-1  is as defined above; 
 R 4  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H, C 1 -C 6  alkyl or —CO—R 4-2  where R 4-2  is C 1 -C 3  alkyl or phenyl, —N(R 2-1 ) 2  where the R 3-1  are the same or different and are as defined above, —SR 3-1  where R 3-1  is as defined above, —S(O)—R 3-1  where 4 1  is as defined above, or —SO 2 —R 3-1  where R 4-1  is as defined above; 
 R 5  is —H, —F, —Cl, —Br, —CF 3 , —OR 5-1  where R 5-1  is —H, C 1 -C 6  alkyl or —CO—R 5-2  where R 5-2  is C 2 -C 3  alkyl or phenyl, —N(R 5-4 ) 2  where the R 5-1  are the same or different and are as defined above, —SR 5-1  where R 5-1  is as defined above, —S(O)—R 5-1  where R 5-1  is as defined above, or —SO 2 —R 5-1  where R 5-1  isas defined above;
 with the proviso that one of R 1 , R 3 , R 4  and R 5  must be other than H. 
 
 
     
     
         15 . The compound of  claim 14 , wherein
 Q is CH or N;   R N  is —H;   R 1  is —H, —F, —Cl, —Br, or —CF 3 ;   R 2  is —CH(R 2-1 )—(CH 2 ) n2 —W n3 —X; wherein:
 R 2-1  is —H, C 1 -C 3  alkyl, or C 3  cycloalkyl; 
 n 2  is 1 or 3; 
 n 3  is 0; 
 X is —NX 1-2 X 1-3 , where the X 1-2  and X 1-3  are taken together with the attached nitrogen atom to form a monocyclic structure that is piperazin-1-yl optionally substituted in the 4-position with C1-C3 alkyl, —CO—(C 1 -C 3  alkyl), —SO 2 —H, or —SO 2 —(C 1 -C 3 ) alkyl; 
   R 3  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above;   R 4  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above;   R 5  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above;
 with the proviso that one of R 1 , R 3 , R 4 , and R 5  must be other than —H. 
   
     
     
         16 . The compound of  claim 15 , wherein R 2  is selected from the group consisting of: 
       
         
           
           
               
               
           
         
       
     
     
         17 . The compound of  claim 15 , wherein the optionally substituted monocyclic structure is selected from the group consisting of pyrrolidin-1-yl, N-(1-methylpyrrolidin-3-yl), N-(4-methylpiperazin-1-yl), and N-(1-ethylpiperadin-4-yl). 
     
     
         18 . A compound of formula III 
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof, wherein:
 Q is CH or N; 
 R N  is —H; 
 R 1  is —H, —F, —Cl, —Br, or —CF 3 ; 
 R 2  is selected from the group consisting of: 
 
       
         
           
           
               
               
           
         
         R 3  is —H, —F, —Cl, —Br, —CF 3 , —OR 3-1  where R 3-1  is —H, C 1 -C 6  alkyl, or —CO—R 3-2  where R 3-2  is C 1 -C 3  alkyl or phenyl, —N(R 3-1 ) 2  where the R 3-1  are the same or different and are as defined above, —SR 3-1  where R 3-1  is as defined above, —S(O)—R 3-1  where R 3-1  is as defined above, or —SO 2 —R 3-1  where R 3-1  is as defined above; 
         R 4  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H, C 1 -C 6  alkyl or —CO—R 4-2  where R 4-2  is C 1 -C 3  alkyl or phenyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, —SR 4-1  where R 4-1  is as defined above, —S(O)—R 4-1  where R 4-1  is as defined above, or —SO 2 —R 4-1  where R 4-1  is as defined above; 
         R 5  is —H, —F, —Cl, —Br, —CF 3 , OR 5-1  where R 5-1  is —H, C 1 -C 6  alkyl or —CO—R 5-2  where —CO—R 5-2  is C 1 -C 3  alkyl or phenyl, —N(R 5-1 ) 2  where the R 5-1  are the same or different and are as defined above, —SR 5-1  where R 5-1  is as defined above, —S(O)—R 5-1  where R 5-1  is as defined above, or —SO 2 —R 5-1  where R 5-1  is as defined above;
 with the proviso that one of R 1 , R 3 , R 4  and R 5  must be other than —H. 
 
       
     
     
         19 . The compound of  claim 18 , wherein:
 Q is CH or N;   R N  is —H;   R 1  is —H, —F, —Cl, —Br, or —CF 3 ;   R 2  is selected from the group consisting of:   
       
         
           
           
               
               
           
         
         R 3  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(R 4-1 ) 2  where the R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above; 
         R 4  is —H, —F, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(4 1 ) 2  where the R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above; 
         R 5  is —H, —F, —Cl, —Br, —CF 3 , —OR 4-1  where R 4-1  is —H or C 1 -C 6  alkyl, —N(R 4-1 ) 2  where the 
         R 4-1  are the same or different and are as defined above, or —SR 4-1  where R 4-1  is as defined above;
 with the proviso that one of R 1 , R 3 , R 4 , and R 5  must be other than —H. 
 
       
     
     
         20 . A compound selected from the group consisting of: 
       
         
           
                 
                 
                 
               
                     
                 
                   Example 
                   Structure 
                   Name 
                 
                     
                 
                    4 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   6-Chloro-2-methoxy-N-(4- (pyrrolidin-1-yl)butyl)acridin-9- amine 
                 
                     
                 
                    7 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   6-Chloro-2-methoxy-N-(4-(4- methylpiperazin-1- yl)butyl)acridin-9-amine 
                 
                     
                 
                   10 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-Chloro-2-methoxyacridin- 9-yl)-N 4 -(cyclopropylmethyl)-N 4 - methylbutane-1,4-diamine 
                 
                     
                 
                   12 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-Chloro-2-methoxyacridin- 9-yl)-N 4 -cyclopropyl-N 4 - ethylbutane-1,4-diamine 
                 
                     
                 
                   13 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-Chloro-2- methoxyacridin-9-yl)-N 4 - (cyclopropylmethyl)-N 4 - ethylbutane-1,4-diamine 
                 
                     
                 
                   17 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   6-Chloro-2-fluoro-N-(2-(4- methylpiperazin-1- yl)ethyl)acridin-9-amine 
                 
                     
                 
                   19 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   3-Chloro-N-(2-(4- methylpiperazin-1- yl)ethyl)acridin-9-amine 
                 
                     
                 
                   20 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   6-Fluoro-2-methoxy-N-(2-(4- methylpiperazin-1- yl)ethyl)acridin-9-amine 
                 
                     
                 
                   21 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   6-Chloro-2-methoxy-N-(2-(4- methylpiperazin-1- yl)ethyl)acridin-9-amine 
                 
                     
                 
                   23 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   7-Chloro-2-methoxy-N-(2-(4- methylpiperazin-1- yl)ethyl)benzo[b][1,5] naphthyridin-10-amine 
                 
                     
                 
                   29 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   6-Chloro-2-fluoro-N-(1-(4- methylpiperazin-1-yl)propan- 2-yl)acridin-9-amine 
                 
                     
                 
                   30 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(acridin-9-yl)-N 4 - (cyclopropylmethyl)-N 4 - methylbutane-1,4-diamine 
                 
                     
                 
                   31 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(cyclopropylmethyl)-N 4 -(2- fluoroacridin-9-yl)-N 1 - methylbutane-1,4-diamine 
                 
                     
                 
                   32 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(2-chloroacridin-9-yl)-N 4 - (cyclopropylmethyl)-N 4 - methylbutane-1,4-diamine 
                 
                     
                 
                   33 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(cyclopropylmethyl)-N 4 -(2- methoxyacridin-9-yl)-N 1 - methylbutane-1,4-diamine 
                 
                     
                 
                   34 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-bromo-2- methoxyacridin-9-yl)-N 4 - (cyclopropylmethyl)-N 4 - methylbutane-1,4-diamine 
                 
                     
                 
                   35 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(cyclopropyl-methyl)-N 4 - (6-fluoro-2-methoxyacridin-9- yl)-N 1 -methylbutane-1,4- diamine 
                 
                     
                 
                   36 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-chloro-2-fluoroacridin- 9-yl)-N 4 -(cyclopropylmethyl)- N 4 -methylbutane-1,4-diamine 
                 
                     
                 
                   37 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(cyclopropylmethyl)-N 4 - (2,6-dichloroacridin-9-yl)-N 1 - methylbutane-1,4-diamine 
                 
                     
                 
                   38 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(3-chloroacridin-9-yl)-N 4 - (cyclopropylmethyl)-N 4 - methylbutane-1,4-diamine 
                 
                     
                 
                   39 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   7-chloro-10-(4-((cyclopropyl- methyl)(methyl)amino)butyl amino)benzo[b][1,5] naphthyridin-2-ol 
                 
                     
                 
                   40 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(7- chlorobenzo[b][1,5]naphthyridin- 10-yl)-N 4 - (cyclopropylmethyl)-N 4 - methylbutane-1,4-diamine 
                 
                     
                 
                   41 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(cyclopropylmethyl)-N 4 - (2,7-dichlorobenzo[b][1,5] naphthyridin-10-yl)-N 1 - methylbutane-1,4-diamine 
                 
                     
                 
                   42 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(7-chloro-2-methoxy benzo[b][1,5]naphthyridin-10- yl)-N 4 -(cyclopropylmethyl)-N 4 - methylbutane-1,4-diamine 
                 
                     
                 
                   45 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-chloro-2- methoxyacridin-9-yl)-N 3 - (cyclopropylmethyl)-N 3 - methylpropane-1,3-diamine 
                 
                     
                 
                   46 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-chloro-2- methoxyacridin-9-yl)-N 2 - (cyclopropylmethyl)-N 2 - methylethane-1,2-diamine 
                 
                     
                 
                   47 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 4 -(6-chloro-2- methoxyacridin-9-yl)-N 1 - (cyclopropylmethyl)-N 1 - methylpentane-1,4-diamine 
                 
                     
                 
                   48 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 4 -(6-chloro-2- methoxyacridin-9-yl)-N 1 - (cyclopropylmethyl)-N 1 - methylhexane-1,4-diamine 
                 
                     
                 
                   49 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 4 -(6-chloro-2- methoxyacridin-9-yl)-N 1 - (cyclopropylmethyl)-5- methoxy-N 1 -methylpentane- 1,4-diamine 
                 
                     
                 
                   53 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N-(4-(6-chloro-2- methoxyacridin-9- ylamino)butyl)-N- (cyclopropylmethyl) methanesulfonamide 
                 
                     
                 
                   54 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-chloro-2- methoxyacridin-9-yl)-N 4 - (cyclopropylmethyl)butane- 1,4-diamine 
                 
                     
                 
                   56 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   N 1 -(6-chloro-2- methoxyacridin-9-yl)-N 4 - cyclopropyl-N 4 -methylbutane- 1,4-diamine 
                 
                     
                 
                   57 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   6-chloro-2-fluoro-N-(1- morpholinopropan-2- yl)acridin-9-amine 
                 
                     
                 
                   58 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   7-Chloro-2-methoxy-N-(1-(4- methylpiperazin-1-yl)propan- 2-yl)benzo[b][1,5]naphthyridin- 10-amine 
                 
                     
                 
                   59 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   7-Chloro-2-methoxy-N-(1- morpholinpropan-2- yl)benzo[b][1,5]naphthyridin- 10-amine 
                 
                     
                 
                   64 
                   
                     
                       
                       
                           
                           
                       
                     
                   
                   6-chloro-2-methoxy-N-(4- morpholinobutyl)acridin-9- amine 
                 
                     
                 
             
                
                
                
               
               
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         21 . The compound of  claim 1 ,  14 ,  18 , or  20 , further comprising a pharmaceutically acceptable carrier, excipient, or diluent. 
     
     
         22 . A method of treating a condition or disease, comprising administering to a subject in need of such treatment a compound according to  claim 1 ,  14 ,  18 , or  20 . 
     
     
         23 . The method of  claim 22 , where in the condition or disease is cancer, a neurodegenerative disorder, an autoimmune disorder, a cardiovascular disorder, a metabolic disorder, hamartoma syndrome, a genetic muscle disorder, or a myopathy. 
     
     
         24 . The method of  claim 23 , wherein the condition or disease is cancer.

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