US2011136739A1PendingUtilityA1

Use of S1P Receptor Agonists in Heart Diseases

39
Assignee: BRINKMANN VOLKERPriority: Jul 24, 2002Filed: Feb 8, 2011Published: Jun 9, 2011
Est. expiryJul 24, 2022(expired)· nominal 20-yr term from priority
A61P 7/10A61K 38/556A61P 9/06A61P 9/04A61K 45/06A61P 9/10A61P 43/00A61P 9/00A61K 31/13A61K 38/2242A61K 31/137A61P 9/12
39
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Claims

Abstract

The invention relates to the use of sphingosine-1-phosphate receptor agonist in the treatment of heart diseases.

Claims

exact text as granted — not AI-modified
1 . (canceled) 
     
     
         2 . (canceled) 
     
     
         3 . A pharmaceutical composition for use in the treatment of chronic heart failure, congestive heart failure, arrhythmia or tachyarrhythmia, unstable angina, acute myocardial infarction or complications from cardiac surgery or for improving heart energy efficiency or cardiac output, comprising a S1P receptor agonist together with one or more pharmaceutically acceptable diluents or carriers therefor. 
     
     
         4 . A method for treating chronic heart failure, congestive heart failure, arrhythmia or tachyarrhythmia, unstable angina, acute myocardial infarction or complications from cardiac surgery or for improving heart energy efficiency or cardiac output in a subject in need thereof, comprising administering to said subject a therapeutically effective amount of a S1P receptor agonist. 
     
     
         5 . A pharmaceutical combination comprising a) a first agent which is a S1P receptor agonist and b) a co-agent selected from an angiotension converting enzyme inhibitor, an angiotension II receptor antagonist, a synthetic form of B-type natriuretic peptide (BNP) or other human B-type natriuretic peptide, a β-blocker, a β-adrenergic receptor agonist, an α-2 receptor agonist a calcium antagonist and a diuretic. 
     
     
         6 . A method according to  claim 4  comprising co-administration concomitantly or in sequence, of a therapeutically effective amount of a S1P receptor agonist and a co-agent selected from an angiotension converting enzyme inhibitor, an angiotension II receptor antagonist, a synthetic form of β-type natriuretic peptide (BNP) or other human B-type natriuretic peptide, a β-blocker, a β-adrenergic receptor agonist, an α-2 receptor agonist a calcium antagonist and a diuretic. 
     
     
         7 . The composition of  claim 3 , wherein the S1P receptor agonist is selected from a compound formula I 
       
         
           
           
               
               
           
         
         wherein R 1  is a straight- or branched C 12-22 carbon chain
 which may have in the chain a bond or a hetero atom selected from a double bond, a triple bond, O, S, NR 6  wherein R 6  is H, alkyl, aralkyl, acyl or alkoxycarbonyl, and carbonyl, 
 and/or 
 which may have as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxyimino, hydroxy or carboxy, or 
 
         R 1  is
 a phenylalkyl wherein alkyl is a straight- or branched (C 6-20 )carbon chain or 
 a phenylalkyl wherein alkyl is a straight- or branched (C 1-30 )carbon chain wherein said phenylalkyl is substituted by 
 a straight- or branched (C 6-20 )carbon chain optionally substituted by halogen, 
 a straight- or branched (C 6-20 )alkoxy chain optionally substituted by halogen, 
 a straight- or branched (C 6-20 )alkenyloxy, 
 phenylalkoxy, halophenylalkoxy, phenylalkoxyalkyl, phenoxyalkoxy or phenoxyalkyl, 
 cycloalkylalkyl substituted by C 6-20 alkyl, 
 heteroarylalkyl substituted by C 6-20 alkyl, 
 heterocyclic C 6-20 alkyl or 
 heterocyclic alkyl substituted by C 6-20 alkyl, 
 
         and wherein 
         the alkyl moiety may have
 in the carbon chain, a bond or a heteroatom selected from a double bond, a triple bond, O, S, sulfinyl, sulfonyl or NR 6 , wherein R 6  is a defined above, and 
 as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxy or carboxy, and 
 
         each of R 2 , R 3 , R 4  and R 5 , independently, is H, C 1-4 alkyl or acyl; 
         a compound of formula II 
       
       
         
           
           
               
               
           
         
         wherein m is 1 to 9 and each of R′2, R′3, R′4 and R′5, independently, is alkyl or acyl, a compound of formula III 
       
       
         
           
           
               
               
           
         
         wherein W is H; C 1-6 alkyl, C 2-6 alkenyl or C 2-6 alkynyl; unsubstituted or by OH substituted phenyl; R″ 4 O(CH 2 )n; or C 1-6 alkyl substituted by 1 to 3 substituents selected from the group consisting of halogen, C 3-8 cycloalkyl, phenyl and phenyl substituted by OH; 
         X is H or unsubstituted or substituted straight chain alkyl having a number p of carbon atoms or unsubstituted or substituted straight chain alkoxy having a number (p−1) of carbon atoms, e.g. substituted by 1 to 3 substituents selected from the group consisting of C 1-6 alkyl, OH, C 1-6 alkoxy, acyloxy, amino, C 1-6 alkylamino, oxo, haloC 1-6 alkyl, halogen, unsubstituted phenyl and phenyl substituted by 1 to 3 substituents selected from the group consisting of C 1-6 alkyl, OH, C 1-6 alkoxy, acyl, acyloxy, amino, C 1-6 alkylamino, acylamino, haloC 1-6 alkyl and halogen; Y is H, C 1-6 alkyl, OH, C 1-6 alkoxy, acyl, acyloxy, amino, C 1-6 alkylamino, acylamino, haloC 1-6 alkyl or halogen, Z 2  is a single bond or a straight chain alkylene having a number or carbon atoms of q, 
         each of p and q, independently, is an integer of 1 to 20, with the proviso of 6≦p+q≦23, m′ is 1, 2 or 3, n is 2 or 3, 
         each of R″ 1 , R″ 2 , R″ 3  and R″ 4 , independently, is H, C 1-4 alkyl or acyl; 
         a compound of formula IVa or IVb 
       
       
         
           
           
               
               
           
         
         wherein X a  is O, S, NR 1s , or a group —(CH 2 ) na —, which group is unsubstituted or substituted by 1 to 4 halogen; n a  is 1 or 2, R 1s  H or (C 1-4 )alkyl, which alkyl is unsubstituted or substituted by halogen; R 1a  is H, OH, (C 1-4 )alkyl or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by 1 to 3 halogen; R 1b  is H, OH or (C 1-4 ) alkyl, wherein alkyl is unsubstituted or substituted by halogen; each R 2a  is independently selected from H or (C 1-4 )alkyl, which alkyl is unsubstituted or substituted by halogen; R 3a  is H, OH, halogen or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by halogen; and R 3b  is H, OH, halogen, (C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by hydroxy, or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by halogen; Y a  is —CH 2 —, —C(O)—, —CH(OH)—, —C(═NOH)—, O or S, and R 4a  is (C 4-14 )alkyl or (C 4-14 )alkenyl; and 
         a: compound of formula V 
       
       
         
           
           
               
               
           
         
         wherein 
         m c  is 1, 2 or 3; 
         X c  is O or a direct bond; 
         R 1c  is H; C1-6alkyl optionally substituted by OH, acyl, halogen, C3-10cycloalkyl, phenyl or hydroxy-phenylene; C2-6alkenyl; C2-6alkynyl; or phenyl optionally substituted by OH; 
         R 2c  is 
       
       
         
           
           
               
               
           
         
         
           wherein R 5c  is H or C 1-4 alkyl optionally substituted by 1, 2 or 3 halogen atoms, and 
           R 6c  is H or C 1-4 alkyl optionally substituted by halogen; 
         
         each of R 3c  and R 4c , independently, is H, C 1-4 alkyl optionally substituted by halogen, or acyl, and 
         R c  is C 13-20 alkyl which may optionally have in the chain an oxygen atom and which may optionally be substituted by nitro, halogen, amino, hydroxy or carboxy; or a residue of formula (a) 
       
       
         
           
           
               
               
           
         
         
           wherein R 7c  is H, C 1-4 alkyl or C 1-4 alkoxy, and R 8c  is substituted C 1-20 alkanoyl, phenylC 1-14 alkyl wherein the C 1-14 alkyl is optionally substituted by halogen or OH, cycloalkylC 1-14 alkoxy or phenylC 1-14 alkoxy wherein the cycloalkyl or phenyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy, phenylC 1-14 alkoxy-C 1-14 alkyl, phenoxyC 1-14 alkoxy or phenoxyC 1-14 alkyl, 
         
         R c  being also a reside of formula (a) wherein R 8c  is C 1-14 alkoxy when R 1c  is C 1-4 alkyl, C 2-6 alkenyl or C 2-6 alkynyl; 
         or a compound of formula VI 
       
       
         
           
           
               
               
           
         
         wherein 
         n x  is 2, 3 or 4 
         R 1x  is H; C 1-6 alkyl optionally substituted by OH, acyl, halogen, cycloalkyl, phenyl or hydroxy-phenylene; C 2-6 alkenyl; C 2-6 alkynyl; or phenyl optionally substituted by OH; 
         R 2x  is C 1-4 alkyl or acyl 
         each of R 3x  and R 4x , independently, is H, C 1-4 alkyl optionally substituted by halogen or acyl, 
         R 5x  is H, C 1-4 alkyl or C 1-4 alkoxy and 
         R 6x  is C 1-20 alkanoyl substituted by cycloalkyl; cycloalkylC 1-14 alkoxy wherein the cycloalkyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4  alkoxy; phenylC 1-14 alkoxy wherein the phenyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy; 
         R 6x  being also C 4-14 alkoxy when R 1x  is C 2-4 alkyl substituted by OH, pentyloxy or hexyloxy when R 1x  is C 1-4 alkyl, 
         provided that R 6x  is other than phenyl-butylenoxy when either R 5x  is H or R 1x  is methyl, or a pharmaceutically acceptable salt thereof. 
       
     
     
         8 . The method of  claim 4 , wherein the S1P receptor agonist is selected from a compound of formula I 
       
         
           
           
               
               
           
         
         wherein R 1  is a straight or branched (C 12-22 )carbon chain
 which may have in the chain a bond or a hetero atom selected tom a double bond, a triple bond, O, S, NR 6 , wherein R 6  is H, alkyl, aralkyl, acyl or alkoxycarbonyl, and carbonyl, 
 and/or 
 which may have as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxyimino, hydroxy or carboxy; or 
 
         R 1  is
 a phenylalkyl wherein alkyl is a straight- or branched (C 6-20 )carbon chain or 
 a phenylalkyl wherein alkyl is a straight- or branched (C 1-30 )carbon chain wherein said phenylalkyl is substituted by 
 a straight- or branched (C 6-20 )carbon chain optionally substituted by halogen, 
 a straight- or branched (C 6-20 )alkoxy chain optionally substituted by halogen, 
 a straight- or branched (C 6-20 )alkenyloxy, 
 phenylalkoxy, halophenylalkoxy, phenylalkoxyalkyl, phenoxyalkoxy or phenoxyalkyl, 
 cycloalkylalkyl substituted by C 6-20 alkyl, 
 heteroarylalkyl substituted by C 6-20 alkyl, 
 heterocyclic C 6-20 alkyl or 
 heterocyclic alkyl substituted by C 6-20 alkyl, 
 
         and wherein 
         the alkyl moiety may have
 in the carbon chain, a bond or a heteroatom selected from a double bond, a triple bond, O, S, sulfinyl, sulfonyl, or NR 6 , wherein R 6  is a defined above, and 
 as a substituted alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxy or carboxy, and 
 
         each of R 2 , R 3 , R 4  and R 5 , independently, is H, C 1-4 alkyl or acyl; 
         a compound of formula II 
       
       
         
           
           
               
               
           
         
         wherein m is 1 to 9 and each of R′2, R′3, R′4 and R′5, independently, is H, alkyl or acyl, a compound of formula III 
       
       
         
           
           
               
               
           
         
         wherein W is H; C 1-6 alkyl, C 2-6 alkenyl or C 2-6 alkynyl; unsubstituted or by OH substituted phenyl; R″ 4 O(CH 2 )n; or C 1-6 alkyl substituted by 1 to 3 substituents selected from the group consisting of halogen, C 3-8 cycloalkyl, phenyl and phenyl substituted by OH; 
         X is H or unsubstituted or substituted straight chain acyl having a number p of carbon atoms or unsubstituted or substituted straight chain alkoxy having a number (p−1) of carbon atoms, e.g.: substituted by 1 to 3 substituents selected from the group consisting of C 1-6 alkyl, OH, C 1-6 alkoxy, acyloxy, amino, C 1-6 alkylamino, acylamino, oxo, haloC 1-6 alkyl, halogen, unsubstituted phenyl and phenyl substituted by 1 to 3 substituents selected from the group consisting of C 1-6 alkyl, OH, C 1-6 alkoxy, acyl, acyloxy, amino, C 1-6 alkylamino, acylamino, haloC 1-6 alkyl and halogen; Y is H, C 1-6 alkyl, OH, C 1-6 alkoxy, acyl, acyloxy, amino, C 1-6 alkylamino, acylamino, haloC 1-6 alkyl or halogen, Z 2  is a single bond or a straight chain alkylene having a number or carbon atoms of q, 
         each of p and q, independently, is an integer of 1 to 20, with the proviso of 6≦p+q≦23, m′ is 1, 2 or 3, n is 2 or 3, 
         each of R″ 1 , R″ 2 , R″ 3  and R″ 4 , independently, is H, C 1-4 alkyl or acyl; 
         a compound of formula IVa or IVb 
       
       
         
           
           
               
               
           
         
         wherein X a  is O, S, NR 1a  or a group —(CH 2 ) na —, which group is unsubstituted or substituted by 1 to 4 halogen; n a  is 1 or 2, R 1s  is H or (C 1-4 )alkyl, which alkyl is unsubstituted or substituted by halogen; R 1a  is H, OH, (C 1-4 )alkyl or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by 1 to 3 halogen; R 1b  is H, OH or (C 1-4 ) alkyl, wherein alkyl is unsubstituted or substituted by halogen; each R 2a  is independently selected from H or (C 1-4 )alkyl, which alkyl is unsubstituted or substituted by halogen; R 3a  is H, OH, halogen or O(C 1-4 )alkyl wherein alkyl is unsubstituted substituted by halogen; and R 3b  is H, OH, halogen, (C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by hydroxy, or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by halogen; Y a  is —CH 2 —, —C(O)—, —CH(OH)—, —C(═NOH)—, O or S, and R 4a  is (C 4-14 )alkyl or (C 4-14 )alkenyl; and 
         a compound of formula V 
       
       
         
           
           
               
               
           
         
         wherein 
         m c  is 1, 2 or 3; 
         X c  is O or a direct bond; 
         R 1c  is H; C1-6alkyl optionally substituted by OH, acyl, halogen, C3-10cycloalkyl, phenyl or hydroxy-phenylene; C2-6alkenyl; C2-6alkynyl or phenyl optionally substituted by OH; 
         R 2c  is 
       
       
         
           
           
               
               
           
         
         
           wherein R 5c  is H or C 1-4 alkyl optionally substituted by 1, 2 or 3 halogen atoms; and 
           R 6c  is H or C 1-4 alkyl optionally substituted by halogen; 
         
         each of R 3c  and R 4c , independently, is H, C 1-4 alkyl optionally substituted by halogen, or acyl, and 
         R c  is C 13-20 alkyl which may optionally have in the chain an oxygen atom and which may optionally be substituted by nitro, halogen, amino, hydroxy or carboxy; or a residue of formula (a) 
       
       
         
           
           
               
               
           
         
         
           wherein R 7c  is H, C 1-4 alkyl or C 1-4 alkoxy, and R 8c  is substituted C 1-20 alkanoyl, phenylC 1-14 alkyl wherein the C 1-14 alkyl is optionally substituted by halogen or OH, cycloalkylC 1-14 alkoxy or phenylC 1-14 alkoxy wherein the cycloalkyl or phenyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy, phenylC 1-14 alkoxy-C 1-14 alkyl, phenoxyC 1-14 alkoxy or phenoxyC 1-14 alkyl, 
         
         R c  being also a reside of formula (a) wherein R 8c  is C 1-14 alkoxy when R 1c  is C 1-4 alkyl, C 2-6 alkenyl or C 2-6 alkynyl, 
         or a impound of formula VI 
       
       
         
           
           
               
               
           
         
         wherein 
         n x  is 2, 3 or 4 
         R 1x  is H; C 1-6 alkyl optionally substituted by OH, acyl, halogen, cycloalkyl, phenyl or hydroxy-phenylene; C 2-6 alkenyl; C 2-6 alkynyl; or phenyl optionally substituted by OH; 
         R 2x  is H, C 1-4 alkyl or acyl 
         each of R 3x  and R 4x , independently, is H, C 1-4 alkyl optionally substituted by halogen or acyl, 
         R 5x  is H, C 1-4 alkyl or C 1-4 alkoxy, and 
         R 6x  is C 1-20 alkanoyl substituted by cycloalkyl; cyloalkylC 1-14 alkoxy wherein the cycloalkyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy; phenylC 1-4 alkoxy wherein the phenyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy, 
         R 6x  being also C 4-14 alkoxy when R 1x  is C 2-4 alkyl substituted by OH, pentyloxy or hexyloxy when R 1x  is C 1-4 alkyl, 
         provided that R 6x  is other than phenyl-butylenoxy when either R 5x  is H or R 1x  is methyl, or a pharmaceutically acceptable salt thereof. 
       
     
     
         9 . The pharmaceutical combination of  claim 5 , wherein the S1P receptor agonist is selected from a compound of formula I 
       
         
           
           
               
               
           
         
         wherein R 1  is a straight- or branched (C 12-22 )carbon chain
 which may have in the chain a bond or a hetero atom selected from a double bond, a triple bond, O, S, NR 6 , wherein R 6  is H, alkyl, aralkyl, acyl or alkoxycarbonyl, and carbonyl, 
 and/or 
 which may have as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxylamino, hydroxy or carboxy; or 
 
         R 1  is
 a phenylalkyl wherein alkyl is a straight- or branched (C 1-6 )carbon chain or 
 a phenylalkyl wherein alkyl is a straight- or branched (C 1-30 )carbon chain wherein said phenylalkyl is substituted by 
 a straight- or branched (C 6-20 )carbon chain optionally substituted by halogen, 
 a straight- or branched (C 6-20 )alkoxy chain optionally substituted by halogen, 
 a straight- or branched (C 6-20 )alkenyloxy, 
 phenylalkoxy, halophenylalkoxy, phenylalkoxyalkyl, phenoxyalkoxy or phenoxyalkyl, 
 cycloalkylalkyl substituted by C 6-20 alkyl, 
 heteroarylalkyl substituted by C 6-20 alkyl, 
 heterocyclic C 6-20 alkyl or 
 heterocyclic alkyl substituted by C 6-20 alkyl, 
 
         and wherein 
         the alkyl moiety may have
 in the carbon chain, a bond or a heteroatom selected from a double bond, a triple bond, O, S, sulfinyl, sulfonyl, or NR 6 , wherein R 6 , is a defined above, and 
 as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxy Or carboxy, and 
 
         each of R 2 , R 3 , R 4  and R 5 , independently, is H, C 1-4 alkyl or acyl; 
         a compound of formula II 
       
       
         
           
           
               
               
           
         
         wherein m is 1 to 9 and each of R′2, R′3, R′4 and R′5, independently, is H, alkyl or acyl, a compound of formula III 
       
       
         
           
           
               
               
           
         
         wherein W is H; C 1-6 alkyl, C 2-6 alkenyl or C 2-6 alkynyl; unsubstituted or by OH substituted phenyl; R″ 4 O(CH 2 )n; or C 1-6 alkyl substituted by 1 to 3 substituents selected from the group consisting of halogen, C 3-8 cycloalkyl, phenyl and phenyl substituted by OH; 
         X is H or unsubstituted or substituted straight chain alkyl having a number p of carbon atoms or unsubstituted or substituted straight chain alkoxy having a number (p−1) of carbon atoms, e.g. substituted by 1 to 3 substituents selected from the group consisting of C 1-6 alkyl, OH, C 1-6 alkoxy, acyloxy, amino, C 1-6 alkylamino, acylamino, oxo, haloC 1-6 alkyl, halogen, unsubstituted phenyl and phenyl substituted by 1 to 3 substituents selected from the group consisting of C 1-6 alkyl, OH, C 1-6 alkoxy, acyl, acyloxy, amino, C 1-6 alkylamino, acylamino, haloC 1-6 alkyl and halogen; Y is H, C 1-6 alkyl, OH, C 1-6 alkoxy, acyl, acyloxy, amino, C 1-6 alkylamino, acylamino, haloC 1-6 alkyl or halogen, Z 2  is a single bond or a straight chain alkylene having a number or carbon atoms of q, 
         each of p and q, independently, is an integer of 1 to 20, with the proviso of 6≦p+q≦23, m′ is 1, 2 or 3; n is 2 or 3, 
         each of R″ 1 , R″ 2 , R″ 3  and R″ 4 , independently, is H, C 1-4 alkyl or acyl; 
         a compound of formula IVa or IVb 
       
       
         
           
           
               
               
           
         
         wherein X a  is O, S, NR 1s  or a group —(CH 2 ) na —, which group is unsubstituted or substituted by 1 to 4 halogen; n a  is 1 or 2, R 1s  is H or (C 1-4 )alkyl, which alkyl is unsubstituted or substituted by halogen; R 1a  is H, OH, (C 1-4 )alkyl or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by 1 to 3 halogen; R 1b  is H, OH or (C 1-4 ) alkyl, wherein alkyl is unsubstituted or substituted by halogen; each R 2a  is independently selected from H or (C 1-4 )alkyl, which alkyl is unsubstituted or substituted by halogen; R 3a  is H, OH, halogen or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by halogen; and R 3b  is H, OH, halogen, (C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by hydroxy, or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by halogen; Y a  is —CH 2 —, —C(O)—, —CH(OH)—, —C(═NOH)—, O or S, and R 4a  is (C 4-14 )alkyl or (C 4-14 )alkenyl; and 
         a compound of formula V 
       
       
         
           
           
               
               
           
         
         wherein 
         m c  is 1, 2 or 3; 
         X c  is O or a direct bond; 
         R 1c  is H, C1-6alkyl optionally substituted by OH, acyl, halogen, C3-10cycloalkyl, phenyl or hydroxy-phenylene; C2-6alkenyl; C2-6alkynyl; or phenyl optionally substituted by OH; 
         R 2c  is 
       
       
         
           
           
               
               
           
         
         
           wherein R 5c  is H or C 1-4 alkyl optionally substituted by 1, 2 or 3 halogen atoms, and 
           R 6c  is H or C 1-4 alkyl optionally substituted by halogen; 
         
         each of R 3c  and R 4c , independently, is H, C 1-4 alkyl optionally substituted by halogen, or acyl, and 
         R c  is C 13-20 alkyl which may optionally have in the chain an oxygen atom and which may optionally be substituted by nitro, halogen, amino, hydroxy or carboxy; or a residue of formula (a) 
       
       
         
           
           
               
               
           
         
         
           wherein R 7c  is H, C 1-4 alkyl or C 1-4 alkoxy, and R 8c  is substituted C 1-20 alkanoyl, phenylC 1-14 alkyl wherein the C 1-14 alkyl is optionally substituted by halogen or OH, cycloalkylC 1-14 alkoxy or phenylC 1-14 alkoxy wherein the cycloalkyl or phenyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy, phenylC 1-14 alkoxy-C 1-14 alkyl, phenoxyC 1-14 alkoxy or phenoxyC 1-14 alkyl, 
         
         R c  being also a reside of formula (a) wherein R 8c  is C 1-14 alkoxy when R 1c  is C 1-4 alkyl, C 2-6 alkenyl or C 2-6 alkynyl, 
         or a compound of formula VI 
       
       
         
           
           
               
               
           
         
         wherein 
         n x  is 2, 3 or 4 
         R 1x  is H, C 1-6 alkyl optionally substituted by OH, acyl, halogen cycloalkyl, phenyl or hydroxy-phenylene; C 2-6 alkenyl; C 2-6 alkynyl; or phenyl optionally substituted by OH; 
         R 2x  is H, C 1-4 alkyl or acyl 
         each of R 3x  and R 4x , independently, is H, C 1-4 alkyl optionally substituted by halogen or acyl, 
         R 5x  is H, C 1-4 alkyl or C 1-4 alkoxy, and 
         R 6x  is C 1-20 alkanoyl substituted by cycloalkyl; cycloalkylC 1-14 alkoxy wherein the cycloalkyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy; phenylC 1-14 alkoxy wherein the phenyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy, 
         R 6x  being also C 4-14 alkoxy when R 1x  is C 2-4 alkyl substituted by OH, pentyloxy or hexyloxy when R 1x  is C 1-4 alkyl, 
         provided that R 6x  is other than phenyl-butylenoxy when either R 5x  is H or R 1x  is methyl, or a pharmaceutically acceptable salt thereof. 
       
     
     
         10 . The method of  claim 6 , wherein the S1P receptor agonist is selected from a compound of formula I 
       
         
           
           
               
               
           
         
         wherein R 1  is a straight- or branched (C 12-22 )carbon chain
 which may have in the chain a bend or a hetero atom selected from a double bond, a triple bond, O, S, NR 6 , wherein R 6  is H, alkyl, aralkyl, acyl or alkoxycarbonyl, and carbonyl, 
 and/or 
 which may have as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxyimino, hydroxy or carboxy, or 
 
         R 1  is
 a phenylalkyl wherein alkyl is a straight- or branched (C 6-20 )carbon chain or 
 a phenylalkyl wherein alkyl is a straight- or branched (C 1-30 )carbon chain wherein said phenylalkyl is substituted by 
 a straight- or branched (C 6-20 )carbon chain optionally substituted by halogen, 
 a straight- or branched (C 6-20 )alkoxy chain optionally substituted by halogen, 
 a straight- or branched (C 6-20 )alkenyloxy, 
 phenylalkoxy, halophenylalkoxy, phenylalkoxyalkyl, phenoxyalkoxy or phenoxyalkyl, 
 cycloalkylalkyl substituted by C 6-20 alkyl, 
 heteroarylalkyl substituted by C 6-20 alkyl, 
 heterocyclic C 6-20 alkyl or 
 heterocyclic alkyl substituted by C 6-20 alkyl, 
 
         and wherein 
         the alkyl moiety may have
 in the carbon chain, a bond of a heteroatom selected from a double bond, triple bond, O, S, sulfinyl, sulfonyl, or NR 6 , wherein R 6  is a defined above, and 
 as a substituent alkoxy, alkenyloxy, alkynyloxy, aralkyloxy, acyl, alkylamino, alkylthio, acylamino, alkoxycarbonyl, alkoxycarbonylamino, acyloxy, alkylcarbamoyl, nitro, halogen, amino, hydroxy or carboxy, and 
 
         each of R 2 , R 3 , R 4  and independently, is H, C 1-4 alkyl or acyl; 
         a compound of formula II 
       
       
         
           
           
               
               
           
         
         wherein m is 1 to 9 and each of R′2, R′3, R′4 and R′5, independently, is H, alkyl or acyl, a compound of formula III 
       
       
         
           
           
               
               
           
         
         wherein W is H; C 1-6 alkyl, C 2-6 alkenyl or C 2-6 alkynyl; unsubstituted or by OH substituted phenyl, R″ 4 O(CH 2 )n; or C 1-6 alkyl substituted by 1 to 3 substituents selected from the group consisting of halogen, C 3-8 cycloalkyl, phenyl and phenyl substituted by OH; 
         X is H or unsubstituted or substituted straight chain alkyl having a number p of carbon atoms, or unsubstituted or substituted straight chain alkoxy having a number (p−1) of carbon atoms, e.g. substituted by 1 to 3 substituents selected from the group consisting of C 1-6 alkyl, OH, C 1-6 alkoxy, acyloxy, amino, C 1-6 alkylamino, acylamino, oxo, haloC 1-6 alkyl, halogen, unsubstituted phenyl and phenyl substituted by 1 to 3 substituents selected from the group consisting of C 1-6 alkyl, OH, C 1-6 alkoxy, acyl, acyloxy, amino, C 1-6 alkylamino, acylamino, haloC 1-6 alkyl and halogen, Y is H, C 1-6 alkyl, OH, C 1-6 alkoxy, acyl, acyloxy, amino, C 1-6 alkylamino, acylamino, haloC 1-6 alkyl or halogen, Z 2  is a single bond or straight chain alkylene having a number or carbon atoms of q, 
         each of p and q, independently, is an integer of 1 to 20, with the proviso of 6≦p+q≦23, m′ is 1, 2 or 3, n is 2 or 3, 
         each of R″ 1 , R″ 2 , R″ 3  and R″ 4 , independently, is H, C 1-4 alkyl or acyl; 
         a compound of formula IVa or IVb 
       
       
         
           
           
               
               
           
         
         wherein X a  is O, S, NR 1s  or a group —(CH 2 ) na —, which group is unsubstituted or substituted by 1 to 4 halogen; n a  is 1 or 2, R 1s  is H or (C 1-4 )alkyl, which alkyl is unsubstituted or substituted by halogen; R 1a  is H, OH, (C 1-4 )alkyl or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by 1 to 3 halogen; R 1b  is H, OH or (C 1-4 )alkyl, wherein alkyl is unsubstituted or substituted by halogen; each R 2a  independently selected from H or (C 1-4 )alkyl, which alkyl is unsubstituted or substituted by halogen; R 3a  is H, OH, halogen or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by halogen; and R 3b  is H, OH, halogen, (C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by hydroxy, or O(C 1-4 )alkyl wherein alkyl is unsubstituted or substituted by halogen; Y a  is —CH 2 —, —C(O)—, —CH(OH)—, —C(═NOH)—, O or S, and R 4a  is (C 4-14 )alkyl or (C 1-14 )alkenyl; and 
         a compound of formula V 
       
       
         
           
           
               
               
           
         
         wherein 
         m c  is 1, 2 or 3; 
         X c  is O or a direct bond; 
         R 1c  is H, C1-6alkyl optionally substituted by OH, acyl, halogen, C3-10cycloalkyl, phenyl or hydroxy-phenylene; C2-6alkenyl; C2-6alkynyl; or phenyl optionally substituted by OH; 
         R 2c  is 
       
       
         
           
           
               
               
           
         
         
           wherein R 5c  is H or C 1-4 alkyl optionally substituted by 1, 2 or 3 halogen atoms, and 
           R 6c  is H or C 1-4 alkyl optionally substituted by halogen; 
         
         each of R 3c  and R 4c , independently, is H, C 1-4 alkyl optionally, substituted by halogen, or acyl, and 
         R c  is C 13-20 alkyl which may optionally have in the than an oxygen atom and which may optionally be substituted by nitro, halogen, amino, hydroxy or carboxy; or a residue of formula (a) 
       
       
         
           
           
               
               
           
         
         
           wherein R 7c  is H, C 1-4 alkyl or C 1-4 alkoxy, and R 8c  is substituted C 1-20 alkanoyl, phenylC 1-14 alkyl wherein the C 1-14 alkyl is optionally substituted by halogen or OH, cycloalkylC 1-14 alkoxy or phenylC 1-14 alkoxy wherein the cycloalkyl or phenyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy, phenylC 1-14 alkoxy-C 1-14 alkyl, phenoxyC 1-14 alkoxy or phenoxyC 1-14 alkyl, 
         
         R c  being also a reside of formula (a) wherein R 8c  is C 1-14 alkoxy when R 1c  is C 1-4 alkyl, C 2-6 alkenyl or C 2-6 alkynyl, 
         or a compound of formula VI 
       
       
         
           
           
               
               
           
         
         wherein 
         n x  is 2, 3 or 4 
         R 1x  is H; C 1-6 alkyl optionally substituted by OH, acyl, halogen, cycloalkyl, phenyl or hydroxy-phenylene; C 2-6 alkenyl; C 2-6 alkynyl; or phenyl optionally substituted by OH; 
         R 2x  is H, C 1-4 alkyl or acyl 
         each of R 3x  and R 4x , independently, is H, C 1-4 alkyl optionally substituted by halogen or acyl, 
         R 5x  is H, C 1-4 alkyl or C 1-4 alkoxy, and 
         R 6x  is C 1-20 alkanoyl substituted by cycloalkyl; cyloalkylC 1-14 alkoxy wherein the cycloalkyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy; phenylC 1-14 alkoxy wherein the phenyl ring is optionally substituted by halogen, C 1-4 alkyl and/or C 1-4 alkoxy, 
         R 6x  being also C 4-14 alkoxy when R 1x  is C 2-4 alkyl substituted by OH, pentyloxy or hexyloxy when R 1x  is C 1-4 alkyl, 
         provided that R 6x  is other than phenyl-butylenoxy when either R 5x  is H or R 1x  is methyl, or a pharmaceutically acceptable salt thereof.

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