Novel phosphotetrahydropyran compounds that mimic mannose-6-phosphate but
that are more resistant to phosphatases and mannosidases, and
pharmaceutical compositions thereof, are disclosed. These compounds and
compositions inhibit T lymphocyte migration from blood to tissues or to
other extravascular sites. By inhibiting such migration, these compounds
are useful for treating diseases or disorders that are mediated at least
in part by such T lymphocyte migration. Such diseases and disorders
include rheumatoid arthritis, multiple sclerosis, acute disseminated
encephalomyelitis, psoriasis, inflammatory bowel disease, T cell-mediated
dermatitis, stromal keratitis, uveitis, thyroiditis, sialitis and type I
diabetes.