The present invention relates (a) to new compounds represented by Formula I: wherein M represents a macrolide
subunit (macrolide
moiety) derived from macrolide possessing the property of accumulation in inflammatory cells, S represents a
steroid subunit (
steroid moiety) derived from
steroid drug with anti-inflammatory activity and L represents a
linker molecule linking M and S, (b) to their pharmacologically acceptable salts, prodrugs and solvates, (c) to processes and intermediates for their preparation, and (d) to their use in the treatment of inflammatory diseases and conditions in humans and animals. Such compounds inhibit many cytokines and immune mediators involved in immune responses which cause
inflammation,
allergy, or
alloimmunity, including without limitation IL-1, 2, 4, 5, 6, 10, 12, GMCSF, ICAM, and TNF-α. Importantly, anti-inflammatory steroids exert a direct anti-inflammatory effect through binding to the glucocorticosteroid
receptor.