A compound of the formula I: ** Formula ** wherein: R1 is selected from -C1-10 alkyl substituted with 1 or 2 groups -ONO2, -CH2O-R10, -C1-6-OCH2- CH alkylene (ONO2 ) -10 C1-6 alkyl, -phenylene-R10, -C 1-6 alkylene-SO2NH (OH), ** Formula ** and R10 is -C2-10 alkyl substituted with 1 or 2 -ONO2 groups; and a is an integer from 2-5; R2 is selected from -OH, -CH2OH, -OP (O) (OH) 2 and -CH2OP (O) (OH) 2; and R3 is selected from H and -CH3; or R2 is taken together with R3 to form -CH2-O-CH2- or -CH2-CH2-; or R2 and R3 are both -CH3; Z is -CH- or -N-; X is -COOR4 or -C1-9 heteroaryl substituted with R5 and R6; R5 is absent or is selected from H; halo; -C0-5-OH alkylene; -NH2; -C 1-6 alkyl; -CF3; -C3-7 cycloalkyl; -C0-2-O-C 1-6 alkyl; -C (O) H; -C (O) -C 1-6 alkyl; -C0-1-COOR50 alkylene; -C (O) NR51R52; -NHC (O) R53; >; = O; -NO2; -C (CH3)>; = N (OH); phenyl optionally substituted with one or two groups independently selected from halo, -OH, -CF3, -OCH3, -NHC (O) CH3 and phenyl; naphthalenyl; pyridinyl; pyrazinyl; pyrazolyl optionally substituted with methyl; thiophenyl optionally substituted with methyl or halo; furanyl; and -CH2-morpholinyl; and R5, when present, is attached to a carbon atom; wherein R51 and R52 are independently selected from H, -C1-6 alkyl, -CH2COOH, - (CH2) 2OH, - (CH2) 2OCH3, - (CH2) 2SO2NH2, - (CH2) 2N (CH3) 2 , -C0-1 alkylene-C3-7 cycloalkyl and - (CH2) 2-imidazolyl; or R51 and R52 are taken together to form a saturated or partially unsaturated C3-5 heterocycle optionally substituted with halo, -OH, -COOH or -CONH2; and optionally, containing an oxygen atom in the ring; and R53 is selected from -C 1-6 alkyl; -C 0-1 -C 1-6 alkyl alkylene; phenyl optionally substituted with halo or -OCH3; and C1-9 heteroaryl; R6 is absent or is selected from H; -OH; -C 1-6 alkyl; -C1-2-COOR60 alkylene; -CH2OC (O) CH (R61) NH2; -OCH2OC (O) CH (R61) NH2; -OCH2OC (O) CH3; -CH2OP (O) (OH) 2; -CH2CH (OH) CH2OH -CH [CH (CH3) 2] -NHC (O) O-C1-6 alkyl; pyridinyl; and phen