Bicyclic sulfone compounds for inhibition of RORgamma activity and the treatment of disease
View Patent ↗The invention provides bicyclic sulfone compounds, pharmaceutical compositions, methods of inhibiting RORy activity, reducing the amount of iL-17 in a subject, and treating immune disorders and inflammatory disorders using such bicyclic sulfone compounds. Another aspect of the invention provides a method of treating a subject suffering from a medical disorder. The method comprises administering to the subject a therapeutically effective amount of one or more bicyclic sulfone compounds described herein. In certain other embodiments, the disorder is rheumatoid arthritis.
1. A compound represented by Formula I:
or a pharmaceutically acceptable salt or solvate thereof; wherein:
A is aryl, aralkyl, heteroaryl, cycloalkyl, or heterocycloalkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 hydroxyalkyl, C 1-6 alkoxy, C 1-6 haloalkoxy, —N(R 4 )(R 5 ), —CO 2 R 6 , —C(O)R 6 , —CN, —C 1-4 alkylene-C 1-4 alkoxy, —C 1-4 alkylene-N(R 4 )(R 5 ), —C 1-4 alkylene-CO 2 R 6 , —O—C 1-6 alkylene-N(R 4 )(R 5 ), —N(R 4 )C(O)—C 1-6 alkylene-N(R 4 )(R 5 ), —S(O) p C 1-6 alkyl, —SO 2 N(R 4 )(R 5 ), —N(R 4 )SO 2 (C 1-6 alkyl), —C(O)N(R 4 )(R 5 ), and —N(R 4 )C(O)N(R 4 )(R 5 );
X is —O—[C(R 6 )(R 7 )]—[C(R 6 ) 2 ] m -ψ, —O—C(R 6 ) 2 —C(R 6 )(R 7 )—C(R 6 ) 2 -ψ, —O—C(R 6 ) 2 —C(R 6 )(R 7 )-ψ, —C(R 6 ) 2 -[C(R 6 )(R 7 )]-[C(R 6 ) 2 ] m -ψ, —C(O)—[C(R 6 )(R 7 )]-[C(R 6 ) 2 ] m -ψ, or —C(R 6 ) 2 —N(R 8 )—[C(R 6 )(R 7 )]-[C(R 6 ) 2 ] m -ψ; wherein ψ is a bond to the ring carbon atom bearing the sulfonyl in Formula I;
Y 1 and Y 2 are each independently C(R 3 ) or N;
R 1 represents independently for each occurrence hydrogen or C 1-6 alkyl;
R 2 is —C(O)-aryl, —C(O)-aralkyl, —C(O)—[C(R 6 ) 2 ] m -cycloalkyl, —C(O)—[C(R 6 ) 2 ] m -heterocyclyl, —C(O)—C 1-8 alkyl, —C(O)—C 1-6 alkylene-C 1-6 alkoxyl, —C(O)—C 1-6 alkylene-cycloalkyl, or —C(O)—C 1-6 alkylene-heterocycloalkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, C 1-6 haloalkyl, —N(R 4 )(R 5 ), —CN, —CO 2 —C 1-6 alkyl, —C(O)—C 1-6 alkyl, —C(O)N(R 4 )(R 5 ), —S(O) p C 1-6 alkyl, —SO 2 N(R 4 )(R 5 ), and —N(R 4 )SO 2 (C 1-6 alkyl);
R 3 represents independently for each occurrence hydrogen, halogen, or C 1-6 alkyl;
R 4 and R 5 each represent independently for each occurrence hydrogen or C 1-6 alkyl; or R 4 and R 5 taken together with the nitrogen atom to which they are attached form a 3-7 membered heterocyclic ring;
R 6 represents independently for each occurrence hydrogen or C 1-6 alkyl;
R 7 is hydrogen, hydroxyl, C 1-6 hydroxyalkyl, C 1-6 alkyl, —CO 2 R 6 , C 1-6 alkylene-CO 2 R 6 , C 1-4 hydroxyalkylene-CO 2 R 6 , —N(R 4 )(R 5 ), C 1-6 alkylene-N(R 4 )(R 5 ), C 1-6 hydroxyalkylene-N(R 4 )(R 5 ), —N(R 4 )C(O)R 9 , C 1-6 alkylene-N(R 4 )C(O)R 9 , C 1-6 alkylene-C(O)N(R 4 )(R 5 ), —N(R 4 )CO 2 —C 1-6 alkyl, or C 1-6 alkylene-N(R 4 )(C(O)N(R 4 )(R 5 ); or R 7 is heterocycloalkyl or C 1-4 alkylene-heterocycloalkyl, wherein the heterocycloalkyl is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of oxo, halogen, hydroxyl, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 hydroxyalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy;
R 8 is hydrogen, C 1-6 alkyl, or —C(O)—C 1-6 alkyl;
R 9 is hydrogen, C 1-6 alkyl, C 1-6 hydroxyalkyl, C 1-6 alkylene-N(R 4 )(R 5 ), or C 1-6 alkylene-N(R 4 )C(O)—C 1-6 alkyl; and
m and p each represent independently for each occurrence 0, 1, or 2.
2. The compound of claim 1 , wherein A is aryl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy.
3. The compound of claim 1 , wherein A is phenyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy.
4. The compound of claim 1 , wherein A is heteroaryl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy.
5. The compound of claim 1 , wherein X is —O-[C(R 6 )(R 7 )]-[C(R 6 ) 2 ] m -ψ.
6. The compound of claim 1 , wherein X is —C(R 6 ) 2 -[C(R 6 )(R 7 )]-[C(R 6 ) 2 ] m -ψ.
7. The compound of claim 1 , wherein X is —C(O)—[C(R 6 )(R 7 )]-[C(R 6 ) 2 ] m -ψ.
8. The compound of claim 1 , wherein Y 1 and Y 2 are C(R 3 ).
9. The compound of claim 1 , wherein at least one of Y 1 and Y 2 is N.
10. The compound of claim 1 , wherein R 1 is hydrogen.
11. The compound of claim 1 , wherein R 2 is —C(O)-aryl or —C(O)-aralkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, and C 1-6 haloalkyl.
12. The compound of claim 1 , wherein R 2 is —C(O)— phenyl or —C(O)-benzyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, and C 1-6 haloalkyl.
13. The compound of claim 1 , wherein R 2 is represented by:
wherein each R′ is independently halogen, C 1-6 alkyl, or C 1-6 haloalkyl.
14. The compound of claim 1 , wherein R 2 is represented by:
wherein R″ is C 1-6 alkyl, aryl, or heterocyclyl, each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, C 1-6 haloalkyl, —N(R 4 )(R 5 ), —CN, —CO 2 —C 1-6 alkyl, —C(O)—C 1-6 alkyl, —C(O)N(R 4 )(R 5 ), —S(O) p C 1-6 alkyl, —SO 2 N(R 4 )(R 5 ), and —N(R 4 )SO 2 (C 1-6 alkyl).
15. The compound of claim 1 , wherein R 3 is hydrogen.
16. The compound of claim 1 , wherein R 7 is hydrogen.
17. The compound of claim 1 , wherein R 7 is hydroxyl, C 1-6 hydroxyalkyl, C 1-6 alkyl, C 1-6 haloalkyl, —CO 2 R 6 , C 1-6 alkylene-CO 2 R 6 , C 1-6 hydroxyalkylene-CO 2 R 6 , —N(R 4 )(R 5 ), C 1-6 alkylene-N(R 4 )(R 5 ), C 1-6 hydroxyalkylene-N(R 4 )(R 5 ), —N(R 4 )C(O)R 9 , C 1-6 alkylene-N(R 4 )C(O)R 9 , C 1-6 alkylene-C(O)N(R 4 )(R 5 ), —N(R 4 )CO 2 —C 1-6 alkyl, or —N(R 4 )C(O)R 9 .
18. The compound of claim 1 , wherein R 7 is C 1-6 hydroxyalkyl, C 1-6 alkyl, C 1-6 alkylene-CO 2 R 6 , —N(R 4 )(R 5 ), C 1-6 alkylene-N(R 4 )(R 5 ), or C 1-6 alkylene-N(R 4 )C(O)R 9 .
19. The compound of claim 1 , wherein R 7 is C 1-3 hydroxyalkyl, methyl, ethyl, or C 1-3 alkylene-N(H)C(O)—C 1-4 alkyl.
20. The compound of claim 1 , wherein the compound is represented by Formula II:
or a pharmaceutically acceptable salt or solvate thereof; wherein:
A is aryl, aralkyl, heteroaryl, cycloalkyl, or heterocycloalkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 hydroxyalkyl, C 1-6 alkoxy, C 1-6 haloalkoxy, —N(R 4 )(R 5 ), —CO 2 R 6 , —C(O)R 6 , —CN, —C 1-4 alkylene-C 1-4 alkoxy, and —C 1-4 alkylene-N(R 4 )(R 5 );
Y 1 and Y 2 are each independently C(R 3 ) or N;
R 1 is hydrogen or C 1-6 alkyl;
R 2 is —C(O)-aryl, —C(O)-aralkyl, —C(O)—[C(R 6 ) 2 ] m -cycloalkyl, —C(O)—[C(R 6 ) 2 ] n -heterocyclyl, —C(O)—C 1-8 alkyl, —C(O)—C 1-6 alkylene-C 1-6 alkoxyl, —C(O)—C 1-6 alkylene-cycloalkyl, or —C(O)—C 1-6 alkylene-heterocycloalkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, C 1-6 haloalkyl, —N(R 4 )(R 5 ), —CN, —CO 2 —C 1-6 alkyl, —C(O)—C 1-6 alkyl, —C(O)N(R 4 )(R 5 ), —S(O) p C 1-6 alkyl, —SO 2 N(R 4 )(R 5 ), and —N(R 4 )SO 2 (C 1-6 alkyl);
R 3 represents independently for each occurrence hydrogen, halogen, or C 1-6 alkyl;
R 4 and R 5 each represent independently for each occurrence hydrogen or C 1-6 alkyl; or R 4 and R 5 taken together with the nitrogen atom to which they are attached form a 3-7 membered heterocyclic ring;
R 6 represents independently for each occurrence hydrogen or C 1-6 alkyl;
R 7 is hydrogen, hydroxyl, C 1-6 hydroxyalkyl, C 1-6 alkyl, C 1-6 haloalkyl, —CO 2 R 6 , C 1-6 alkylene-CO 2 R 6 , C 1-4 hydroxyalkylene-CO 2 R 6 , —N(R 4 )(R 5 ), C 1-6 alkylene-N(R 4 )(R 5 ), C 1-6 hydroxyalkylene-N(R 4 )(R 5 ), —N(R 4 )C(O)R 9 , C 1-6 alkylene-N(R 4 )C(O)R 9 , C 1-6 alkylene-C(O)N(R 4 )(R 5 ), —N(R 4 )CO 2 —C 1-6 alkyl, or C 1-6 alkylene-N(R 4 )(C(O)N(R 4 )(R 5 ); or R 7 is heterocycloalkyl or C 1-4 alkylene-heterocycloalkyl, wherein the heterocycloalkyl is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of oxo, halogen, hydroxyl, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 hydroxyalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy;
R 9 is hydrogen, C 1-6 alkyl, C 1-6 hydroxyalkyl, C 1-6 alkylene-N(R 4 )(R 5 ), or C 1-6 alkyl ene-N(R 4 )C(O)—C 1-6 alkyl; and
m and p each represent independently for each occurrence 0, 1, or 2.
21. The compound of claim 20 , wherein A is aryl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy.
22. The compound of claim 20 , wherein A is phenyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy.
23. The compound of claim 20 , wherein Y 1 and Y 2 are C(R 3 ).
24. The compound of claim 20 , wherein at least one of Y 1 and Y 2 is N.
25. The compound of claim 20 , wherein R 1 is hydrogen.
26. The compound of claim 20 , wherein R 2 is —C(O)-aryl or —C(O)-aralkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, and C 1-6 haloalkyl.
27. The compound of claim 20 , wherein R 2 is —C(O)-phenyl or —C(O)-benzyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, and C 1-6 haloalkyl.
28. The compound of claim 20 , wherein R 2 is represented by:
wherein each R′ is independently halogen, C 1-6 alkyl, or C 1-6 haloalkyl.
29. The compound of claim 20 , wherein R 2 is represented by:
wherein R″ is C 1-6 alkyl, aryl, or heterocyclyl, each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, C 1-6 haloalkyl, —N(R 4 )(R 5 ), —CN, —CO 2 —C 1-6 alkyl, —C(O)—C 1-6 alkyl, —C(O)N(R 4 )(R 5 ), —S(O) p C 1-6 alkyl, —SO 2 N(R 4 )(R 5 ), and —N(R 4 )SO 2 (C 1-6 alkyl).
30. The compound of claim 20 , wherein R 3 is hydrogen.
31. The compound of claim 20 , wherein R 7 is hydrogen.
32. The compound of claim 20 , wherein R 7 is C 1-6 hydroxyalkyl, C 1-6 alkyl, C 1-6 alkylene-CO 2 R 6 , C 1-6 alkylene-N(R 4 )(R 5 ), or C 1-6 alkylene-N(R 4 )C(O)R 9 .
33. The compound of claim 1 , wherein the compound is represented by Formula III:
or a pharmaceutically acceptable salt or solvate thereof; wherein:
A is aryl, aralkyl, heteroaryl, cycloalkyl, or heterocycloalkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkyl, C 1-6 hydroxyalkyl, C 1-6 alkoxy, C 1-6 haloalkoxy, —N(R 4 )(R 5 ), —CO 2 R 6 , —C(O)R 6 , —CN, —C 1-4 alkylene-C 1-4 alkoxy, and —C 1-4 alkylene-N(R 4 )(R 5 );
Y 1 and Y 2 are each independently C(R 3 ) or N;
R 1 is hydrogen or C 1-6 alkyl;
R 2 is —C(O)-aryl, —C(O)-aralkyl, —C(O)—[C(R 6 ) 2 ] m -cycloalkyl, —C(O)—[C(R 6 ) 2 ] m -heterocyclyl, —C(O)—C 1-8 alkyl, —C(O)—C 1-6 alkylene-C 1-6 alkoxyl, —C(O)—C 1-6 alkylene-cycloalkyl, or —C(O)—C 1-6 alkylene-heterocycloalkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, C 1-6 haloalkyl, —N(R 4 )(R 5 ), —CN, —CO 2 —C 1-6 alkyl, —C(O)N(R 4 )(R 5 ), —S(O) p C 1-6 alkyl, —SO 2 N(R 4 )(R 5 ), and —N(R 4 )SO 2 (C 1-6 alkyl);
R 3 represents independently for each occurrence hydrogen, halogen, or C 1-6 alkyl;
R 4 and R 5 each represent independently for each occurrence hydrogen or C 1-6 alkyl; or R 4 and R 5 taken together with the nitrogen atom to which they are attached form a 3-7 membered heterocyclic ring;
R 6 represents independently for each occurrence hydrogen or C 1-6 alkyl;
R 7 is hydrogen, hydroxyl, C 1-6 hydroxyalkyl, C 1-6 alkyl, C 1-6 haloalkyl, —CO 2 R 6 , C 1-6 alkylene-CO 2 R 6 , C 1-4 hydroxyalkylene-CO 2 R 6 , —N(R 4 )(R 5 ), C 1-6 alkylene-N(R 4 )(R 5 ), C 1-6 hydroxyalkylene-N(R 4 )(R 5 ), —N(R 4 )C(O)R 9 , C 1-6 alkylene-N(R 4 )C(O)R 9 , C 1-6 alkylene-C(O)N(R 4 )(R 5 ), —N(R 4 )CO 2 —C 1-6 alkyl, or C 1-6 alkylene-N(R 4 )(C(O)N(R 4 )(R 5 ); or R 7 is heterocycloalkyl or C 1-4 alkylene-heterocycloalkyl, wherein the heterocycloalkyl is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of oxo, halogen, hydroxyl, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 hydroxyalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy;
R 9 is hydrogen, C 1-6 alkyl, C 1-6 hydroxyalkyl, C 1-6 alkylene-N(R 4 )(R 5 ), or C 1-6 alkylene-N(R 4 )C(O)—C 1-6 alkyl; and
m and p each represent independently for each occurrence 0, 1, or 2.
34. The compound of claim 33 , wherein A is aryl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy.
35. The compound of claim 33 , wherein A is phenyl optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, C 1-6 haloalkyl, C 1-6 alkoxy, and C 1-6 haloalkoxy.
36. The compound of claim 33 , wherein Y 1 and Y 2 are C(R 3 ).
37. The compound of claim 33 , wherein at least one of Y 1 and Y 2 is N.
38. The compound of claim 33 , wherein R 1 is hydrogen.
39. The compound of claim 33 , wherein R 2 is —C(O)-aryl or —C(O)-aralkyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, and C 1-6 haloalkyl.
40. The compound of claim 33 , wherein R 2 is —C(O)-phenyl or —C(O)-benzyl; each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, C 1-6 alkyl, and C 1-6 haloalkyl.
41. The compound of claim 33 , wherein R 2 is represented by:
wherein each R′ is independently halogen, C 1-6 alkyl, or C 1-6 haloalkyl.
42. The compound of claim 33 , wherein R 2 is represented by:
wherein R″ is C 1-6 alkyl, aryl, or heterocyclyl, each of which is optionally substituted with 1, 2, or 3 substituents independently selected from the group consisting of halogen, hydroxyl, C 1-6 alkoxy, C 1-6 haloalkoxy, C 1-6 alkyl, C 1-6 haloalkyl, —N(R 4 )(R 5 ), —CN, —CO 2 —C 1-6 alkyl, —C(O)—C 1-6 alkyl, —C(O)N(R 4 )(R 5 ), —S(O) p C 1-6 alkyl, —SO 2 N(R 4 )(R 5 ), and —N(R 4 )SO 2 (C 1-6 alkyl).
43. The compound of claim 33 , wherein R 3 is hydrogen.
44. The compound of claim 33 , wherein R 7 is hydrogen.
45. The compound of claim 33 , wherein R 7 is C 1-6 hydroxyalkyl, C 1-6 alkyl, C 1-6 alkylene-CO 2 R 6 , —N(R 4 )(R 5 ), C 1-6 alkylene-N(R 4 )(R 5 ), or C 1-6 alkylene-N(R 4 )C(O)R 9 .
46. A compound in any one of Tables 1, 2, 3, or 4 herein or a pharmaceutically acceptable salt thereof.
47. A pharmaceutical composition comprising a compound of claim 1 and a pharmaceutically acceptable carrier.
48. A method of treating a disorder selected from the group consisting of an immune disorder and inflammatory disorder, comprising administering a therapeutically effective amount of a compound of claim 1 to a subject in need thereof to ameliorate a symptom of the disorder.
49. The method of claim 48 , wherein the disorder is rheumatoid arthritis, psoriasis, chronic graft-versus-host disease, acute graft-versus-host disease, Crohn's disease, inflammatory bowel disease, multiple sclerosis, psoriasis, systemic lupus erythematosus, Celiac Sprue, idiopathic thrombocytopenic thrombotic purpura, myasthenia gravis, Sjogren's syndrome, scleroderma, ulcerative colitis, asthma, or epidermal hyperplasia.
50. The method of claim 48 , wherein the disorder is cartilage inflammation, bone degradation, arthritis, juvenile arthritis, juvenile rheumatoid arthritis, pauciarticular juvenile rheumatoid arthritis, polyarticular juvenile rheumatoid arthritis, systemic onset juvenile rheumatoid arthritis, juvenile ankylosing spondylitis, juvenile enteropathic arthritis, juvenile reactive arthritis, juvenile Reter's Syndrome, SEA Syndrome, juvenile dermatomyositis, juvenile psoriatic arthritis, juvenile scleroderma, juvenile systemic lupus erythematosus, juvenile vasculitis, pauciarticular rheumatoid arthritis, polyarticular rheumatoid arthritis, systemic onset rheumatoid arthritis, ankylosing spondylitis, enteropathic arthritis, reactive arthritis, Reter's Syndrome, dermatomyositis, psoriatic arthritis, vasculitis, myolitis, polymyolitis, dermatomyolitis, osteoarthritis, polyarteritis nodossa, Wegener's granulomatosis, arteritis, polymyalgia rheumatica, sarcoidosis, sclerosis, primary biliary sclerosis, sclerosing cholangitis, dermatitis, atopic dermatitis, atherosclerosis, Still's disease, chronic obstructive pulmonary disease, Guillain-Barre disease, Type I diabetes mellitus, Graves' disease, Addison's disease, Raynaud's phenomenon, autoimmune hepatitis, psoriatic epidermal hyperplasia, plaque psoriasis, guttate psoriasis, inverse psoriasis, pustular psoriasis, erythrodermic psoriasis, or an immune disorder associated with or arising from activity of pathogenic lymphocytes.
51. The method of claim 48 , wherein the disorder is rheumatoid arthritis.
52. The method of claim 48 , wherein the subject is a human.