WO2005051920A2

WO2005051920A2 - Specific antagonist for both e- and p-selectins

Info

Publication number: WO2005051920A2
Application number: PCT/US2004/038783
Authority: WO
Inventors: John L. Magnani; John T. Patton, Jr.
Original assignee: Glycomimetics, Inc.
Priority date: 2003-11-19
Filing date: 2004-11-18
Publication date: 2005-06-09
Also published as: DE602004011272T2; EP1763533A2; DE602004011272D1; US7361644B2; ATE383367T1; EP1763533B1; WO2005051920A3; US20050164982A1

Abstract

Compounds and methods are provided for modulating in vitro and in vivo processes mediated by selectin binding. More specifically, selectin modulators and their use are described, wherein the selectin modulators that modulate (e.g., inhibit or enhance) a selectin-mediated function comprise a particular glycomimetic linked to a particular BASA (Benzyl Amino Sulfonic Acid).

Description

SPECIFIC ANTAGONIST FOR BOTH E- AND P-SELECTINS

BACKGROUND OF THE INVENTION

Field of the Invention The present invention relates generally to compounds, compositions and methods for modulating processes mediated by selectin binding, and more particularly to selectin modulators and their use, wherein the selectin modulators that modulate a selectin-mediated function comprise a particular glycomimetic linked to a particular BASA (Benzyl Amino Sulfonic Acid).

Description of the Related Art When a tissue is infected or damaged, the inflammatory process directs leukocytes and other immune system components to the site of infection or injury. Within this process, leukocytes play an important role in the engulfment and digestion of microorganisms. Thus, the recruitment of leukocytes to infected or damaged tissue is critical for mounting an effective immune defense. Selectins are a group of structurally similar cell surface receptors that are important for mediating leukocyte binding to endothelial cells. These proteins are type 1 membrane proteins and are composed of an amino terminal lectin domain, an epidermal growth factor (EGF)-like domain, a variable number of complement receptor related repeats, a hydrophobic domain spanning region and a cytoplasmic domain. The binding interactions appear to be mediated by contact of the lectin domain of the selectins and various carbohydrate ligands. There are three known selectins: E-selectin, P-selectin and L-selectin. E-selectin is found on the surface of activated endothelial cells, which line the interior wall of capillaries. E-selectin binds to the carbohydrate sialyl-Lewis^x (Sl_e^x), which is presented as a glycoprotein or glycolipid on the surface of certain leukocytes (monocytes and neutrophils) and helps these cells adhere to capillary walls in areas where surrounding tissue is infected or damaged; and E-selectin also binds to sialyl-Lewis^a (SLe^a), which is expressed on many tumor cells. P-selectin is expressed on inflamed endothelium and platelets, and also recognizes SLe^x and SLe^a, but also contains a second site that interacts with sulfated tyrosine. The expression of E-selectin and P-selectin is generally increased when the tissue adjacent to a capillary is infected or damaged. L selectin is expressed on leukocytes. Selectin-mediated intercellular adhesion is an example of a selectin-mediated function. Modulators of selectin-mediated function include the PSGL-1 protein (and smaller peptide fragments), fucoidan, glycyrrhizin (and derivatives), anti-selectin antibodies, sulfated lactose derivatives, and heparin. All have shown to be unsuitable for drug development due to insufficient activity, toxicity, lack of specificity, poor ADME characteristics and/or availability of material. Although selectin-mediated cell adhesion is required for fighting infection and destroying foreign material, there are situations in which such cell adhesion is undesirable or excessive, resulting in tissue damage instead of repair. For example, many pathologies (such as autoimmune and inflammatory diseases, shock and reperfusion injuries) involve abnormal adhesion of white blood cells. Such abnormal cell adhesion may also play a role in transplant and graft rejection. In addition, some circulating cancer cells appear to take advantage of the inflammatory mechanism to bind to activated endothelium. In such circumstances, modulation of selectin-mediated intercellular adhesion may be desirable. Accordingly, there is a need in the art for identifying inhibitors of selectin-mediated function, e.g., of selectin-dependent cell adhesion, and for the development of methods employing such compounds to inhibit conditions associated with excessive selectin activity. The present invention fulfills these needs and further provides other related advantages.

BRIEF SUMMARY OF THE INVENTION Briefly stated, this invention provides compounds, compositions and methods for modulating selectin-mediated processes. In the present invention, the compounds that modulate (e.g., inhibit or enhance) a selectin-mediated function contain a particular glycomimetic and a particular BASA (i.e., a benzyl amino sulfonic acid). Such compounds may be combined with a pharmaceutically acceptable carrier or diluent to form a pharmaceutical composition. The compounds or compositions may be used in a method to modulate (e.g., inhibit or enhance) a selectin- mediated function, such as inhibiting a selectin-mediated intercellular adhesion. In one aspect of the present invention, compounds are provided that contain at least two components: (1) a particular glycomimetic (or glycoconjugate thereof) and (2) a particular BASA. The particular glycomimetic is shown in Figure 1. The particular BASAs are shown in Figures 2 and 5. A compound of the present invention is a combination of a particular glycomimetic and a particular BASA, to yield a compound that modulates (e.g., inhibits or enhances) a selectin-mediated function. The glycomimetic and BASA are covalently linked, for example as shown in Figures 3 and 6. Examples of suitable linkers and linkages are shown in Figures 3, 6, 8, 11 and 14. An example of a selectin-mediated function is a selectin-mediated intercellular adhesion. A compound of the present invention includes physiologically acceptable salts thereof. A compound of the present invention in combination with a pharmaceutically acceptable carrier or diluent provides a composition of the present invention. A compound or composition of the present invention may further comprise a diagnostic or therapeutic agent. In the preferred embodiments of the present invention, a compound or physiologically acceptable salt thereof is provided having the formula:

or

wherein L is a linker. Such a compound may be combined with a pharmaceutically acceptable carrier or diluent to provide a preferred composition of the present invention. Preferred linkers include where L is

In another aspect of the present invention, methods are provided for using a compound or composition of the present invention to modulate a selectin-mediated function. Such a compound or composition can be used, for example, to inhibit or enhance a selectin-mediated function, such as selectin-mediated intercellular interactions. A compound or composition can be used in a method to contact a cell expressing a selectin in an amount effective to modulate the selectin's function. A compound or composition can be used in a method to administer to a patient, who is in need of having inhibited the development of a condition associated with an excessive selectin-mediated function (such as an excessive selectin-mediated intercellular adhesion), in an amount effective to inhibit the development of such a condition. Examples of such conditions include inflammatory diseases, autoimmune diseases, infection, cancer, shock, thrombosis, wounds, burns, reperfusion injury, platelet-mediated diseases, leukocyte-mediated lung injury, spinal cord damage, digestive tract mucous membrane disorders, osteoporosis, arthritis, asthma and allergic reactions. A compound or composition can be used in a method to administer to a patient who is the recipient of a transplanted tissue in an amount effective to inhibit rejection of the transplanted tissue. A compound or composition can be used in a method in an amount effective to target an agent (e.g., a diagnostic or therapeutic agent) to a selectin- expressing cell by contacting such a cell with the agent linked to the compound or composition. A compound or composition can be used in the manufacture of a medicament, for example for any of the uses recited above. These and other aspects of the present invention will become apparent upon reference to the following detailed description and attached drawings. All references disclosed herein are hereby incorporated by reference in their entirety as if each was incorporated individually.

BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWING(S) Figure 1 shows the structure of a particular glycomimetic. Figure 2 shows the structure of a particular BASA. Figure 3 shows the structure of the glycomimetic of Figure 1 joined to the BASA of Figure 2 by a preferred linker. Figure 4 is a diagram illustrating the synthesis of the BASA of Figure 2. Figure 5 shows the structure of a particular BASA. Figure 6 shows the structure of the glycomimetic of Figure 1 joined to the BASA of Figure 5 by a preferred linker. Figure 7 is a diagram illustrating the synthesis of the BASA of Figure 5. Figure 8 shows additional preferred linkers and linkages. Figure 9 is a diagram illustrating the coupling of the glycomimetic of Figure 1 to a squaric acid linker. Figures 10A-10D show a diagram illustrating the synthesis of a glycomimetic linked to a BASA. Figure 11 is a diagram illustrating the synthesis of a glycomimetic linked to a BASA. Figure 12 is a diagram illustrating the synthesis of a particular

BASA. Figure 13 is a diagram illustrating the synthesis of a glycomimetic linked to a BASA. Figure 14 is a diagram illustrating the synthesis of a glycomimetic linked to a BASA. Figures 15A-15B show the results of an E-selectin binding assay. Figure 15A is the raw data for half inhibitory concentration (IC50) and Figure 15B is the relative half inhibitory concentration (rIC50) where the data for the internal positive control are set to 1.0. The solid and hatched bars represent assays conducted on different days. "I" is an internal positive control compound (compound 15 of Thoma et al., J. Med. Chem. 42:4909-4913, 1999). "II" is the glycomimetic of Figure 1. "Ill" is the glycomimetic-BASA of Figure 13. "IV" is the glycomimetic-BASA of Figure 14. Figures 16A-16B show the results of an P-selectin binding assay. Figure 16A is the raw data for half inhibitory concentration (IC50) and Figure 16B is the relative half inhibitory concentration (rIC50) where the data for the internal positive control are set to 1.0. "I" is an internal positive control compound (glycyrrhizin). "II" is the glycomimetic of Figure 1. "Ill" is the glycomimetic-BASA of Figure 13. "IV" is the glycomimetic- BASA of Figure 14. Figure 17 shows the effect of the selectin modulator of Figure 6 on cell rolling in established inflammation by intravital microscopy (-•- vehicle; -*- mAbs(3); -jfc- compound of Figure 6).

DETAILED DESCRIPTION OF THE INVENTION As noted above, the present invention provides selectin modulators, compositions thereof and methods for modulating selectin- mediated functions. Such modulators may be used in vitro or in vivo, to modulate (e.g., inhibit or enhance) selectin-mediated functions in a variety of contexts, discussed in further detail below. Examples of selectin- mediated functions include intercellular adhesion and the formation of new capillaries during angiogenesis.

SELECTIN MODULATORS The term "selectin modulator," as used herein, refers to a molecule(s) that modulates (e.g., inhibits or enhances) a selectin-mediated function, such as selectin-mediated intercellular interactions, and that comprises a particular BASA linked to a particular selectin-binding glycomimetic (or glycoconjugate thereof). A selectin modulator may consist entirely of a particular BASA linked to a particular glycomimetic as described herein, or may comprise one or more additional molecular components. The selectin modulators of the present invention are, surprisingly, significantly more potent than the individual components alone or additively. A particular BASA is linked (e.g., covalently attached with or without a spacer group) via "L" to a particular selectin-binding glycomimetic (or glycoconjugate thereof) to form a selectin modulator of the present invention. The preferred linkers are shown in Figures 3, 6, 11 and 14. The attachment of a particular BASA to a particular glycomimetic can be accomplished in a variety of ways to form a selectin modulator. A linker "L" possessed by (or added to) either a BASA or a glycomimetic or both may include a spacer group, such as — (CH₂)_n — or — O(CH₂)_n — where n is generally about 1-20. The simplest attachment method is reductive amination of the BASA to a glycomimetic containing a reducing end (an anomeric hydroxyl/aldehyde). This is accomplished by simple reaction of the BASA to the reducing end and subsequent reduction (e.g., with NaCNBH₃) of the imine formed. The most general approach entails the simple attachment of an activated linker to the glycomimetic via an O, S or N heteroatom (or C atom) at the anomeric position. The methodology of such attachments has been extensively researched for carbohydrates and anomeric selectivity is easily accomplished by proper selection of methodology and/or protecting groups. Examples of potential glycosidic synthetic methods include Lewis acid catalyzed bond formation with halogen or peracetylated sugars (Koenigs Knorr), trichloroacetamidate bond formation, thioglycoside activation and coupling, glucal activation and coupling, n-pentenyl coupling, phosphonate ester homologation (Horner- Wadsworth-Emmons reaction), and many others. Alternatively, linkers could be attached to positions on the moieties other than the anomeric. The most accessible site for attachment is at a six hydroxyl (6-OH) position of a glycomimetic (a primary alcohol). The attachment of a linker at the 6-OH can be easily achieved by a variety of means. Examples include reaction of the oxy-anion (alcohol anion formed by deprotonation with base) with an appropriate electrophile such as an alkyl/acyl bromide, chloride or sulfonate ester, activation of the alcohol via reaction with a sulfonate ester chloride or POCI₃ and displacement with a subsequent nucleophile, oxidation of the alcohol to the aldehyde or carboxylic acid for coupling, or even use of the Mitsunobu reaction to introduce differing functionalities. Once attached the linker is then functionalized for reaction with a suitable nucleophile on the BASA (or vice versa). This is often accomplished by use of thiophosgene and amines to make thiourea-linked heterobifunctional ligands, diethyl squarate attachment (again with amines) and/or simple alkyl/acylation reactions. Additional methods that could be utilized include FMOC solid or solution phase synthetic techniques traditionally used for carbohydrate and peptide coupling and chemo- enzymatic synthesis techniques possibly utilizing glycosyl/fucosyl transferases and/or oligosaccharyltransferase (OST). Embodiments of linkers are described in the Examples and also include the following :

—

Acylation via Thiofuran

H O _H I II ² — N-C— (CH₂)₂-C- NH— N-Pentenoylation and Reductive amination

H O O H I I I II I — N-C— (CH₂)n-C-N— Coupling Via Bifunctional NHS Reagent In addition, Figure 8 shows additional linkers and linkages. Other linkers will be familiar to those in the art. Although selectin modulators as described herein may sufficiently target a desired site in vivo, it may be beneficial for certain applications to include an additional targeting moiety to facilitate targeting to one or more specific tissues. As used herein, a "targeting moiety," may be any substance (such as a compound or cell) that, when linked to a modulating agent enhances the transport of the modulator to a target tissue, thereby increasing the local concentration of the modulator. Targeting moieties include antibodies or fragments thereof, receptors, ligands and other molecules that bind to cells of, or in the vicinity of, the target tissue. Linkage is generally covalent and may be achieved by, for example, direct condensation or other reactions, or by way of bi- or multifunctional linkers. For certain embodiments, it may be beneficial to also, or alternatively, link a drug to a selectin modulator. As used herein, the term "drug" refers to any bioactive agent intended for administration to a mammal to prevent or treat a disease or other undesirable condition. Drugs include hormones, growth factors, proteins, peptides and other compounds. Examples of potential drugs include antineoplastic agents (such as 5-fluorouracil and distamycin), integrin agonist/antagonists (such as cyclic-RGD peptide), cytokine agonist/antagonists, histamine agonist/antagonists (such as diphenhydramine and chlorpheniramine), antibiotics (such as aminoglycosides and cephalosporins) and redox active biological agents (such as glutathione and thioredoxin). In other embodiments, diagnostic or therapeutic radionuclides may be linked to a selectin modulator. In many embodiments, the agent may be linked directly or indirectly to a selectin modulator.

EVALUATING INHIBITION OF SELECTIN-MEDIATED INTERCELLULAR ADHESION Modulating agents as described above are capable, for example, of inhibiting selectin-mediated cell adhesion. This ability may generally be evaluated using any of a variety of in vitro assays designed to measure the effect on adhesion between selectin-expressing cells (e.g., adhesion between leukocytes or tumor cells and platelets or endothelial cells). For example, such cells may be plated under standard conditions that, in the absence of modulator, permit cell adhesion. In general, a modulator is an inhibitor of selectin-mediated cell adhesion if contact of the test cells with the modulator results in a discernible inhibition of cell adhesion. For example, in the presence of modulators (e.g., micromolar levels), disruption of adhesion between leukocytes or tumor cells and platelets or endothelial cells may be determined visually within approximately several minutes, by observing the reduction of cells interacting with one another.

SELECTIN MODULATOR FORMULATIONS Modulators as described herein may be present within a pharmaceutical composition. A pharmaceutical composition comprises one or more modulators in combination with one or more pharmaceutically or physiologically acceptable carriers, diluents or excipients. Such compositions may comprise buffers (e.g., neutral buffered saline or phosphate buffered saline), carbohydrates (e.g., glucose, mannose, sucrose or dextrans), mannitol, proteins, polypeptides or amino acids such as glycine, antioxidants, chelating agents such as EDTA or glutathione, adjuvants (e.g., aluminum hydroxide) and/or preservatives. Within yet other embodiments, compositions of the present invention may be formulated as a lyophilizate. Compositions of the present invention may be formulated for any appropriate manner of administration, including for example, topical, oral, nasal, intravenous, intracranial, intraperitoneal, subcutaneous, or intramuscular administration. A pharmaceutical composition may also, or alternatively, contain one or more active agents, such as drugs (e.g., those set forth above), which may be linked to a modulator or may be free within the composition. The compositions described herein may be administered as part of a sustained release formulation (i.e., a formulation such as a capsule or sponge that effects a slow release of modulating agent following administration). Such formulations may generally be prepared using well known technology and administered by, for example, oral, rectal or subcutaneous implantation, or by implantation at the desired target site. Carriers for use within such formulations are biocompatible, and may also be biodegradable; preferably the formulation provides a relatively constant level of modulating agent release. The amount of modulating agent contained within a sustained release formulation depends upon the site of implantation, the rate and expected duration of release and the nature of the condition to be treated or prevented. Selectin modulators are generally present within a pharmaceutical composition in a therapeutically effective amount. A therapeutically effective amount is an amount that results in a discernible patient benefit, such as increased healing of a condition associated with excess selectin-mediated function (e.g., intercellular adhesion), as described below.

SELECTIN MODULATOR METHODS OF USE In general, the modulating agents and compositions described herein may be used for enhancing or inhibiting a selectin-mediated function. Such enhancement or inhibition may be achieved in vitro and/or in vivo in a warm-blooded animal, preferably in a mammal such as a human, provided that a selectin-expressing cell is ultimately contacted with a modulator, in an amount and for a time sufficient to enhance or inhibit selectin-mediated function. Within certain aspects, the present invention provides methods for inhibiting the development of a condition associated with a selectin- mediated function, such as intercellular adhesion. In general, such methods may be used to prevent, delay or treat such a condition. In other words, therapeutic methods provided herein may be used to treat a disease, or may be used to prevent or delay the onset of such a disease in a patient who is free of disease or who is afflicted with a disease that is not associated with a selectin-mediated function. For example, the therapeutic methods have uses that may include the arrest of cell growth, the killing of cells, the prevention of cells or cell growth, the delay of the onset of cells or cell growth, or the prolongation of survival of an organism. A variety of conditions are associated with a selectin-mediated function. Such conditions include, for example, tissue transplant rejection, platelet-mediated diseases (e.g., atherosclerosis and clotting), hyperactive coronary circulation, acute leukocyte-mediated lung injury (e.g., adult respiratory distress syndrome (ARDS)), Crohn's disease, inflammatory diseases (e.g., inflammatory bowel disease), autoimmune diseases (MS, myasthenia gravis), infection, cancer (and metastasis), thrombosis, wounds (and wound-associated sepsis), burns, spinal cord damage, digestive tract mucous membrane disorders (gastritis, ulcers), osteoporosis, rheumatoid arthritis, osteoarthritis, asthma, allergy, psoriasis, septic shock, traumatic shock, stroke, nephritis, atopic dermatitis, frostbite injury, adult dyspnoea syndrome, ulcerative colitis, systemic lupus erythematosus, diabetes and reperfusion injury following ischaemic episodes. Selectin modulators may also be administered to a patient prior to heart surgery to enhance recovery. Other uses include pain management, prevention of restinosis associated with vascular stenting, and for undesirable angiogenesis, e.g., associated with cancer. Selectin modulators of the present invention may be administered in a manner appropriate to the disease to be treated (or prevented). Appropriate dosages and a suitable duration and frequency of administration may be determined by such factors as the condition of the patient, the type and severity of the patient's disease and the method of administration. In general, an appropriate dosage and treatment regimen provides the modulating agent(s) in an amount sufficient to provide therapeutic and/or prophylactic benefit. Within particularly preferred embodiments of the invention, a selectin modulator may be administered at a dosage ranging from 0.001 to 1000 mg/kg body weight (more typically 0.01 to 1000 mg/kg), on a regimen of single or multiple daily doses. Appropriate dosages may generally be determined using experimental models and/or clinical trials. In general, the use of the minimum dosage that is sufficient to provide effective therapy is preferred. Patients may generally be monitored for therapeutic effectiveness using assays suitable for the condition being treated or prevented, which will be familiar to those of ordinary skill in the art. Selectin modulators may also be used to target substances to cells that express a selectin. Such substances include therapeutic agents and diagnostic agents. Therapeutic agents may be a molecule, virus, viral component, cell, cell component or any other substance that can be demonstrated to modify the properties of a target cell so as to provide a benefit for treating or preventing a disorder or regulating the physiology of a patient. A therapeutic agent may also be a prodrug that generates an agent having a biological activity in vivo. Molecules that may be therapeutic agents may be, for example, polypeptides, amino acids, nucleic acids, polynucleotides, steroids, polysaccharides or inorganic compounds. Such molecules may function in any of a variety of ways, including as enzymes, enzyme inhibitors, hormones, receptors, antisense oligonucleotides, catalytic polynucleotides, anti-viral agents, anti-tumor agents, anti-bacterial agents, immunomodulating agents and cytotoxic agents (e.g., radionuclides such as iodine, bromine, lead, palladium or copper). Diagnostic agents include imaging agents such as metals and radioactive agents (e.g., gallium, technetium, indium, strontium, iodine, barium, bromine and phosphorus-containing compounds), contrast agents, dyes (e.g., fluorescent dyes and chromophores) and enzymes that catalyze a colorimetric or fluorometric reaction. In general, therapeutic and diagnostic agents may be attached to a selectin modulator using a variety of techniques such as those described above. For targeting purposes, a selectin modulator may be administered to a patient as described herein. Since selectins are expressed on endothelial cells involved in the formation of new capillaries during angiogenesis, a selectin modulator may be used to target a therapeutic agent for killing a tumor's vasculature. A selectin modulator may also be used for gene targeting. Selectin modulators may also be used in vitro, e.g., within a variety of well known cell culture and cell separation methods. For example, modulators may be linked to the interior surface of a tissue culture plate or other cell culture support, for use in immobilizing selectin- expressing cells for screens, assays and growth in culture. Such linkage may be performed by any suitable technique, such as the methods described above, as well as other standard techniques. Modulators may also be used, for example, to facilitate cell identification and sorting in vitro, permitting the selection of cells expressing a selectin (or different selectin levels). Preferably, the modulator(s) for use in such methods are linked to a detectable marker. Suitable markers are well known in the art and include radionuclides, luminescent groups, fluorescent groups, enzymes, dyes, constant immunoglobulin domains and biotin. Within one preferred embodiment, a modulator linked to a fluorescent marker, such as fluorescein, is contacted with the cells, which are then analyzed by fluorescence activated cell sorting (FACS). All compounds of the present invention or useful thereto, include physiologically acceptable salts thereof. The following Examples are offered by way of illustration and not by way of limitation. EXAMPLES EXAMPLE 1 PREPARATION OF A BASA (FIGURE 4)

Suzuki COUPLING 4-(4,4,5,5-Tetramethyl-[l,3,2]dioxaborolan-2-yl)-benzoic acid

(0.004 mol, 1 eq) and KOAc (0.012 mol, 3 eq) are placed in THF (25 ml) creating a slurry. PdCI₂(dppf) (0.00012 mol, 3 mol %) and p-bromo- nitrobenzene (0.005 mol, 1.2 eq) are then added to the solution with stirring and the solution is heated gently to 80°C. After 6 hrs the reaction is complete by TLC (20: 1 CH₂CI₂/CH₃OH). The reaction mixture is evaporated to dryness, dissolved in CH₂C1₂ (30 ml) and washed with distilled water and saturated NaHCO₃. The resultant biphenyl compound is taken directly to the next step.

CARBODIIMIDE COUPLING 4"-Nitro-biphenyl-4-carboxylic acid ( 0.004 mol, 1 eq), dimethyl amino pyridine (1 crystal, cat.) and EDCI ( 0.0041 mol, 1.05 eq) are dissolved in DMF (or THF, 20 ml) and allowed to react at room temperature for 10 min. 8-Amino-naphthalene-l,3,5-trisulfonic acid is added to the reaction mixture with stirring and the reaction is allowed to proceed at room temperature under nitrogen for 48 hrs. The reaction mixture is then evaporated to dryness and purified by reverse phase chromatography (C18 column, 80/20 CH₃CN/H₂O-l% TFA to 50/50 CH₃CN/H₂O).

HYDROGENATION 8-[(4'-Nitro-biphenyl-4-carbonyl)-amino]-naphthalene-l,3,5- trisulfonic acid (1 eq) and 10% Pd (10 mol %) on carbon are placed in EtOAc (or CH₃OH). The solution is degassed and an atmosphere of H₂ is generated within the reaction vessel. The reaction is allowed to proceed until the uptake of H₂ ceases and TLC indicates the disappearance of starting material (~12 hrs). The palladium precipitate is removed by filtration through a bed of celite and the filtrate is evaporated to dryness giving the BASA compound of Figure 4. EXAMPLE 2 SYNTHESIS OF GLYCOMIMETIC WITH SQUARIC ACID LINKER (FIGURE 9)

ACTIVATED ESTER SYNTHESIS Compound of Figure 1 (1.8 μmol, 1 eq) is dissolved in 1,2- diaminoethane (50 μl, XS) with stirring. The solution is heated to 70°C for

50 hrs under nitrogen. The solution is then evaporated to dryness and the compound is purified by reverse phase chromatography (C18 column,

80/20 CH₃CN/H₂O-l% TFA to 50/50 CH₃CH/H₂O).

SOUARATE ESTER FORMATION The amine (5.40 μmol, 1 eq) is dissolved in 0.1M Hepes buffer of pH 7 and reacted with squaric acid diethyl ester (80 μmol, XS) for 24 hrs. The solution is then washed with CH₂CI₂ and the aqueous layer is collected and evaporated to dryness. The resultant powder is purified by column chromatography (Sephadex-G25, 100% H₂O). EXAMPLE 3 SYNTHESIS OF GLYCOMIMETIC-BASA (FIGURES 10A-10D)

SYNTHESIS OF COMPOUND 12: /- ^ Starting from N-acetyl glucosamine (5, 50g) compound 12 (50% overall yield) is synthesized following published procedure (Bioorg. Med. Chem. Lett. 11, 2001, 923-925; Carbohydr. Res. 197, 1990, 75).

SYNTHESIS OF COMPOUND 17: Compound 17 (15g) is prepared from L-fucose following published procedure (Carbohydr. Res. 201, 1990, 15-30).

Synthesis of Compound 21 : Compound 21 is prepared from commercially available β-D- galactose-pentaacetate as described (WO 9701569; Chem. Astr. 1997, 126 186312).

SYNTHESIS OF COMPOUND 25: Commercially available N-acetyl neuraminic acid (22, lOg) is suspended in MeOH-H₂O (60 ml, 9: 1), and the pH is adjusted to 8.1 by adding an aqueous solution of cesium carbonate. The solvent is removed, and the residue is repeatedly evaporated with ethanol and then with hexane. The material is dissolved in DMF (65ml), and benzyl bromide (3.5ml) is added within 20 min. After the mixture is stirred for 16h, dichloromethane (100ml) is added and washed with water (50ml). The solvent is removed by evaporation and purified by silica gel chromatography to give 23 in 68% yield. To a solution of compound 23 (7g) in pyridine (50ml) is added acetic anhydride (48ml), and the reaction mixture is stirred at RT for 16h. Solvent is removed by evaporation and the residue (23a) is dissolved in dry DMF (25ml). To the mixture is added powdered ammonium carbonate (2g), and the mixture is stirred for 12h at 28 degrees centigrade. The mixture is added to an ice-cold solution of IN HCI in water (50ml) and dichloromethane (100ml) is added. After solvent extraction, the organic layer is removed by evaporation and then dried under vacuum for 24h. The residue is purified by silica gel chromatography to give 24 in 71% yield. Compound 24 is dissolved in dry dichloromethane, and to this is added 2,6-di-tert-butyl-pyridine (5g). The solution is cooled to -20 degrees centigrade and trifluoromethanesulfonic anhydride (7g) is added portionwise in 10 min. The mixture is stirred for 4h, is diluted with dichloromethane (100ml), and is added to a solution of potassium hydrogen phosphate (500ml). The layers are separated, and the organic layer is dried (sodium sulfate) and solvent is removed by evaporation to give 25, which is used without further purification in the preparation of 29.

SYNTHESIS OF COMPOUND 26: To a mixture of compound 12 (lOg) and compound 17 (15g) in dichloromethane (100ml) are added molecular sieves (4A, 8g). After stirring at RT for lh, tetraethylammonium bromide (5g) is added. A solution of bromine (lg) in dichloromethane (25ml) is added dropwise during lh. The reaction mixture is further stirred for 3h, filtered through a bed of celite and washed successively with cold water, cold saturated solution of sodium bicarbonate, and cold water. Solvent is removed by evaporation, and the reaction mixture is subjected to silica gel chromatography. The product is treated with sodium cyanoborohydride in THF and HCI in ether to give compound 26 in 70% overall yield after silica gel chromatography.

SYNTHESIS OF COMPOUND 27: To a mixture of 26 (lOg) and 21 (7g) in dichloromethane

(80ml) is added N-iodosucciπimide (15g) and molecular sieves (4A, 8g), and the mixture is placed in an ice bath. The solution is stirred at 0-5 degree for 30 min, and a solution of triflic acid (0.2ml) in dichloromethane (25ml) is added dropwise with stirring during lh. Stirring is continued for 2h, and the mixture is then filtered through a bed of celite and washed successively with cold water, cold saturated solution of sodium bicarbonate, and cold water. Solvent is removed by evaporation, and the mixture is purified by silica gel chromatography to produce 27 in 68% yield.

SYNTHESIS OF COMPOUND 28: Compound 27 (8g) is treated with 0.05N NaOEt in MeOH

(100ml) for 4h and, after neutralization with IR120 (hydrogen form) resin, the reaction mixture is filtered. The solvent is removed by evaporation to produce compound 28 in 96% yield.

SYNTHESIS OF COMPOUND 29: Compound 28 (5g) is treated with dibutyltinoxide (lg) in MeOH for 4h under reflux. The solvent is evaporated and then coevaporated with toluene several times. The residue is finally dried under high vacuum for 24h. The crude reaction mixture is dissolved in dimethoxyethane (DME, 100ml) and CsF (1.7g) is added. The reaction mixture is stirred at RT for 8h and ethyl acetate (100ml) is added. The organic layer is washed with water, and the organic solvent is removed by evaporation. The product is purified by silica gel chromatography to produce 29 in 64% yield.

SYNTHESIS OF COMPOUND 30: Compound 29 (2g) is de-O-acetylated with 0.01N NaOMe in

MeOH (100ml, lh), the crude reaction mixture is neutralized with IR120 (hydrogen form) resin, and the solvent is removed by evaporation. Product from the above reaction is dissolved in dioxane-water

(1:1, 50ml) and 10% PD-C is added. The reaction mixture is stirred vigorously under hydrogen atmosphere for 22h, filtered through a bed of celite, and the solvent is removed by evaporation. Silica gel chromatography of the resulting syrup produced 30 in 77% yield.

SYNTHESIS OF COMPOUND 31 : Compound 30 (500mg) is treated with ethylenediamine at 70 degrees centigrade for 4h. Solvent is removed by evaporation and the syrupy residue is purified by silica gel chromatography to produce compound 31 in 77 % yield.

SYNTHESIS OF COMPOUND 39: Commercially available compound 32 (4-(4,4,5,5-tetramethyl- [l,3,2]dioxaborolan-2-yl)-benzoic acid, 1 eq) and KOAc (3 eq) are placed in THF (25ml). To the resulting slurry is added PdCI₂ and p- bromonitrobenzene (33, 1.2 eq) with stirring, and the mixture is gently heated to 80 degrees centigrade. After 6h, the reaction mixture is evaporated to dryness, dissolved in dichloromethane (30ml) and washed with distilled water and a saturated solution of sodium bicarbonate. The resulting biphenyl compound 34 is taken directly to the next step. Compound 34 (leq), dimethylaminopyridine (catalytic amount, one crystal), and EDCI (1.05eq) are dissolved in DMF or THF (20ml) and allowed to react at RT for 10 min. Commercially available compound 35 (8- aminonaphthalene-l,3,5-trisulfonic acid) is added to the reaction mixture with stirring, and the reaction is allowed to proceed at RT under nitrogen for 48h. The reaction mixture is then evaporated to dryness and purified by reverse phase chromatography to yield compound 36. To a solution of compound 36 in EtOAc is added PD-C, and the reaction mixture is stirred for 2h under a hydrogen atmosphere. The reaction mixture is filtered through a bed of celite and evaporated to dryness to yield compound 37. To a solution of compound 37 in phosphate buffer (pH 7.1) is added squaric acid (38), and the reaction mixture is stirred for 4h at RT. It is then purified by reverse phase hplc to yield compound 39. SYNTHESIS OF COMPOUND 40: Compound 31 (0.2g) is dissolved in carbonate buffer (2ml, pH 8.8), and compound 39 (0.4g) is added. The reaction mixture is stirred at RT for 24h. Another batch (0.2g) of compound 39 is added, and stirring is continued for 20 h at RT. Solvent is removed by evaporation, and the mixture is purified by chromatography on Sephadex G-25 in 5mM ammonium bicarbonate to yield compound 40.

EXAMPLE 4 SYNTHESIS OF GLYCOMIMETIC-BASA (FIGURE 11)

SYNTHESIS OF 3 ,4-DIETHOXY-DITHIADIAZOLE, 3,4-DIETHOXY-DΓΓΉIADIAZOLE-I- OXIDE, AND 3,4-DIETHOXY-DITHIADIAZOLE-L,L-DIOXIDE Synthesis of the above compounds was performed as described previously (JACS 1996, 118, 330-338; JACS 1982, 104, 1375; JOC, 1975, 40, 2749).

SYNTHESIS OF INTERMEDIATE I The BASA of Example 1 is added to a solution of 3,4-diethoxy- dithidiazole-l,l-dioxide in ethanol at room temperature and stirred for 5h. Ethanol was evaporated off and the crude mixture is purified to give intermediate I.

CONJUGATION BETWEEN INTERMEDIATE I AND COMPOUND 31 Intermediate I is reacted with compound 31 of Example 3 in ethanol to give the glycomimetic-BASA which is purified by sephadex G-25 column.

EXAMPLE 5 PREPARATION OF A BASA (FIGURE 12)

SYNTHESIS OF COMPOUND 4 Nitration of commercially available 2 (lg) was according to the procedure described in the literature (U.S. Patent No. 4,534,905; Allison, F. et al. Helv. Chim. Ada 1952, 4, 2139). The crude product 3 was dissolved in water (40 mL) and 10% Pd/C (0.3 g) added. The mixture was hydrogenated (~45 psi) at room temperature for 48 h. The catalyst was filtered through Celite and the filter bed was washed with water. The filtrate was concentrated under vacuum to afford a pink solid. After removal of the catalyst, the filtrate was concentrated to 15 mL and an equal volume of ethanol was added. The precipitate was collected by filtration to give compound 4 with very little impurity.

SYNTHESIS OF COMPOUND 7A A solution of 5 (5g) and 8 (4.45 g, 24.7 mmol), and K₂CO₃ (2

M in H₂O, 24.7 mL, 49.4 mmol) in 10: 1 toluene/ethanol (70 mL) was treated with Pd(PPh₃) (1.43 g, 1.24 mmol) and the mixture was refluxed for 20 h. After work up, recrystallization of the crude product in EtOH and chromatographic purification of the recrystallization filtrate afforded compound 9 (2.9 g, 46%, >90% HPLC) and 2.2 g of recovered 5. The product was characterized by ¹H NMR. A mixture of 9 (2.9 g, 11.3 mmol) and LiOH-H₂O (1.43 g, 34.1 mmol) in 1 : 1 THF/H₂O (250 mL) was stirred at RT for 21 h. The reaction afforded 7 (2.58 g, 94%, >90% HPLC) after work up. The product was characterized by H NMR. DMF (20 μL) was added to a suspension of 7 (500 mg, 1.94 mmol), SOCI₂ (0.23 mL, 3.10 mmol) and toluene (3 mL) and then heated to 80 °C. After 20 h, the reaction was worked up to afford the acid chloride

(640 mg). The product was characterized by IR and ¹H NMR.

SYNTHESIS OF COMPOUND 10 To a solution of amine 4 (268 mg, 0.641 mmol) in H₂O (2 mL) and dioxane (18 mL) was added a solution of 7a (273 mg, 0.99 mmol) in dioxane (16 mL) dropwise over 30 min. The pH of the reaction mixture was adjusted to 8.5 with 0.25 M NaOH as the addition progressed. The reaction was stirred at room temperature for 2.5 h after the addition. Purification by column chromatography (methanol/toluene 1 : 1) followed by prep. TLC (methanol/toluene 1: 1) afforded 50 mg of compound 10, which was characterized by H NMR and MS.

HYDROGENATION OF COMPOUND 10 A suspension of 10 (30 mg, 0.049 mmol) and 10% Pd on carbon (50 mg) in H₂O (20 mL) was hydrogenated (55 psi) at room temperature for 4 h to yield the BASA. EXAMPLE 6 SYNTHESIS OF GLYCOMIMETIC- BASA (FIGURE 13)

SYNTHESIS OF INTERMEDIATE P The BASA of Example 5 was reacted with diethyl squarate (5mg) in phosphate buffer at pH 7 and then purified by preparative hplc to give intermediate P.

CONDENSATION BETWEEN INTERMEDIATE P AND COMPOUND 31 To a solution of intermediate P (15mg) in carbonate/bicarbonate buffer (pH 9.5, 1.5ml) was added compound 31 of Example 3 (lOmg) and the reaction mixture was stirred at room temperature for 16h. The reaction mixture was then applied to column of sephadex G-25 and the column was eluted with 5mM ammoniumbicarbonate solution. The fractions correspond to the product was collected and lyophilized to yield the glycomimetic-BASA (12mg). EXAMPLE 7 SYNTHESIS OF GLYCOMIMETIC-BASA (FIGURE 14) To a solution of the BASA of Example 5 in 0.2M sodium bicarbonate solution was added a solution of thiphosgene in chloroform. The mixture was stirred vigorously for lh and the aqueous layer was collected to afford intermediate J. To the above mixture was added a solution of compound 31 of Example 3 in carbonate/bicarbonate buffer (pH 10) and the mixture was stirred for 16h at room temperature. The crude product was purified by gel filtration to give the glycomimetic-BASA. EXAMPLE 8 ASSAY FOR E-SELECTIN ANTAGONIST ACTIVITY (FIGURES 15A-15B) Wells of a microtiter plate (plate 1) are coated with E- selectin/hlg chimera (GlycoTech Corp., Rockville, MD) by incubation for 2 hr at 37°C. After washing the plate 5 times with 50mM TrisHCI, 150 mM NaCI, 2mM CaCI₂, pH 7.4 (Tris-Ca), 100 μl of 1% BSA in Tris-Ca/Stabilcoat (SurModics, Eden Prairie, MN) (1: 1, v/v) are added to each well to block non-specific binding. Test compounds are serially diluted in a second low- binding, round bottomed plate (plate 2) in Tris-Ca (60 μl/well). Preformed conjugates of SLea-PAA-biotin (GlycoTech Corp., Rockville, MD) mixed with Streptavidin-HRP (Sigma, St. Louis, MO) are added to each well of plate 2 (60 μl/well of 1 μg/ml). Plate 1 is washed several times with Tris-Ca and 100 μl/well are transferred from plate 2 to plate 1. After incubation at room temperature for exactly 2 hours the plate is washed and 100 μl/well of TMB reagent (KPL labs, Gaithersburg, MD) is added to each well. After incubation for 3 minutes at room temperature, the reaction is stopped by adding 100 μl/well of 1M H₃PO₄ and the absorbance of light at 450 nm is determined by a microtiter plate reader.

EXAMPLE 9 ASSAY FOR P-SELECTIN ANTAGONIST ACTIVITY (FIGURES 16A-16B) The neoglycoprotein, sialylLe^a-HSA (Isosep AB, Sweden) is coated onto wells of a microtiter plate (plate 1) and the wells are then blocked by the addition of 2% bovine serum albumin (BSA) diluted in

Dulbecco's phosphate-buffered saline (DPBS). In a second microtiter plate

(plate 2), test antagonists are serially diluted in 1% BSA in DPBS. After blocking, plate 1 is washed and the contents of plate 2 are transferred to plate 1. Pselectin/hlg recombinant chimeric protein (GlycoTech Corp.,

Rockville, MD) is further added to each well in plate 1 and the binding process is allowed to incubate for 2 hours at room temperature. Plate 1 is then washed with DPBS and peroxidase-labelled goat anti-human Ig(γ) (KPL

Labs, Gaithersburg, MD) at 1 μg/ml is added to each well. After incubation at room temperature for 1 hour, the plate is washed with DBPS and then

TMB substrate (KPL Labs) is added to each well. After 5 minutes, the reaction is stopped by the addition of 1M H₃PO₄. Absorbance of light at 450 nm is then determined using a microtiter plate reader.

EXAMPLE 10 ASSAY FOR EFFECT OF A COMPOUND ON CELL ROLLING IN ESTABLISHED INFLAMMATION Inflammation is induced in normal Swiss Albino mice by intraperitoneal injection of IL-lβ (lOng). After 4 hours, the established inflammatory response is treated with test compounds by intravenous injection. Vehicle is the negative control containing no test compound and mAbs(3) is the positive control containing a cocktail of antibodies to all three selectins (E, 10E9; L, Mel-14; P, RB40.34). Test compound (Figure 6) is administered (n = 3) at 50 mg/kg. Rolling of cells on the endothelium is determined by intravital microscopy of the post-capillary venules of the mouse mesentery. Results are shown in Figure 17. Effects of treatment with vehicle (-•-), monoclonal antibodies (-*-) and test compound (-A-) on cell rolling is monitored for 30 minutes immediately after administration. All of the above U.S. patents, U.S. patent application publications, U.S. patent applications, foreign patents, foreign patent applications and non-patent publications referred to in this specification and/or listed in the Application Data Sheet, are incorporated herein by reference, in their entirety. From the foregoing it will be appreciated that, although specific embodiments of the invention have been described herein for purposes of illustration, various modifications may be made without deviating from the spirit and scope of the invention. Accordingly, the invention is not limited except as by the appended claims.

Claims

CLAIMSWhat is claimed is:

1. A compound or physiologically acceptable salt thereof, having the formula:

wherein L is a linker.

2. The compound or physiologically acceptable salt thereof of claim 1 wherein L is

3. A compound or physiologically acceptable salt thereof, having the formula:

wherein L is a linker.

4. The compound or physiologically acceptable salt thereof of claim 3 wherein L is

5. A composition comprising a compound or physiologically acceptable salt thereof according to any one of claims 1-4 in combination with a pharmaceutically acceptable carrier or diluent.

6. A compound or physiologically acceptable salt thereof comprising a compound according to any one of claims 1-4 further comprising a diagnostic or therapeutic agent.

7. A composition comprising a compound according to claim 6 in combination with a pharmaceutically acceptable carrier or diluent.

8. A method for modulating a selectin-mediated function, comprising contacting a cell expressing a selectin with a compound according to any one of claims 1-4 in an amount effective to modulate the selectin's function.

9. A method for modulating a selectin-mediated function, comprising contacting a cell expressing a selectin with a composition according to claim 5 in an amount effective to modulate the selectin's function.

10. A method of treating a patient, comprising administering to the patient who is in need of having inhibited the development of a condition associated with an excessive selectin-mediated function, a compound according to any one of claims 1-4 in an amount effective to inhibit the development of such a condition.

11. A method of treating a patient, comprising administering to the patient who is in need of having inhibited the development of a condition associated with an excessive selectin-mediated function, a composition according to claim 5 in an amount effective to inhibit the development of such a condition.

12. A method of inhibiting rejection of transplanted tissue, comprising administering to a patient who is the recipient of a transplanted tissue, a compound according to any one of claims 1-4 in an amount effective to inhibit rejection of the transplanted tissue.

13. A method of inhibiting rejection of transplanted tissue, comprising administering to a patient who is the recipient of a transplanted tissue, a composition according to claim 5 in an amount effective to inhibit rejection of the transplanted tissue.

14. A method of targeting an agent to a selectin-expressing cell, comprising contacting a cell expressing a selectin with a compound according to claim 6 in an amount effective to target a diagnostic or therapeutic agent to the cell.

15. A method of targeting an agent to a selectin-expressing cell, comprising contacting a cell expressing a selectin with a composition according to claim 7 in an amount effective to target a diagnostic or therapeutic agent to the cell.

16. A compound according to any one of claims 1-4 or a composition according to claim 5 for use in a method for modulating a selectin- mediated function.

17. Use of a compound according to any one of claims 1-4 or a composition according to claim 5 in the preparation of a medicament for modulating a selectin-mediated function.

18. A compound according to any one of claims 1-4 or a composition according to claim 5 for use in a method for inhibiting the development of a condition associated with an excessive selectin-mediating function.

19. Use of a compound according to any one of claims 1-4 or a composition according to claim 5 in the preparation of a medicament for inhibiting the development of a condition associated with an excessive selectin- mediated function.

20. A compound according to any one of claims 1-4 or a composition according to claim 5 for use in a method for inhibiting rejection of transplanted tissue.

21. Use of compound according to any one of claims 1-4 or a composition according to claim 5 in the preparation of a medicament for inhibiting rejection of transplanted tissue.

22. A compound according to claim 6 or a composition according to claim 7 for use in a method for targeting a diagnostic or therapeutic agent to a selectin-expressing cell.

23. Use of a compound according to claim 6 or a composition according to claim 7 in the preparation of a medicament for targeting a therapeutic agent to a selectin-expressing cell.