Methods of use of glycomimetics with replacements for hexoses and n-acetyl hexosamines

A method for treating a vascular abnormality associated with sickle cell disease comprising administering to an individual in need thereof in an amount effective to treat the vascular abnormality a glycomimetic compound, wherein the compound comprises:

• wherein,
• R1=H, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, halogenated C1-C8 alkanyl, or aryl which may be substituted with one or more of Me, OMe, halide, OH, or NHX where X=H, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, halogenated C1-C8 alkanyl, aryl or heteroaryl either of which may be substituted with one or more of Me, OMe, halide, or OH;
• C(═O)OX, alkanyl substituted with C(═O)OX, C(═O)NHX, alkanyl substituted with C(═O)NHX, where X=C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, halogenated C1-C8 alkanyl, aryl or heteroaryl either of which may be substituted with one or more of Me, OMe, halide, or OH;
• OX, NHX, NH(═O)X, where X=H, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, halogenated C1-C8 alkanyl, aryl or heteroaryl either of which may be substituted with one or more of Me, OMe, halide, or OH;
• R2=H, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, halogenated C1-C8 alkanyl, aryl or heteroaryl either of which may be substituted with one or more of Me, OMe, halide, OH, or NHX where X=H, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, halogenated C1-C8 alkanyl, aryl or heteroaryl either of which may be substituted with one or more of Me, OMe, halide, or OH;
• —C(═O)OX where X is C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, aryl or heteroaryl either of which may be substituted with one or more of Me, OMe, halide, or OH;
• —C(═O)NH(CH2)n,NH2 where n=0-30, C(═O)NHX or CX2OH, where X=C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, halogenated C1-C8 alkanyl, aryl or heteroaryl either of which may be substituted with one or more of Me, OMe, halide, or OH;
• OX, NHX, NH(═O)X, where X=H, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, halogenated C1-C8 alkanyl, aryl or heteroaryl either of which may be substituted with one or more of Me, OMe, halide, or OH;
• with the proviso that R1 and R2 are not both H;
• R3=−OH,
• —O—C(═O)—X, —NH2, —NH—C(═O)—NHX, or —NH—C(═O)—X where n=0-2 and X is independently selected from C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl,
• physiologically acceptable cation, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, aryl, heteroaryl, (CH2)m-aryl or (CH2)m-heteroaryl where m is 1-10, and where n=0-10, and any of the above ring compounds may be substituted with one to three independently selected of Cl, F, CF3, C1-C8 alkoxy, NO2, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, C1-C14 aryl, or OY, C(═O)OY, NY2 or C(═O)NHY where Y is H, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl, or C1-C14 aryl;
• where Q is H or a physiologically acceptable cation and where R9 is aryl, heteroaryl, cyclohexane, t-butane, adamantane, or triazole, and any of R9 may be substituted with one to three independently selected of Cl, F, CF3, C1-C8 alkoxy, NO2, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl or OY, C(═O)OY, NY2 or C(═O)NHY where Y is H, C1-C8 alkanyl, C1-C8 alkenyl, C1-C8 alkynyl or C1-C14 aryl;
• and
• R5=L-fucose.