Squaramides represent a class of
vinylogous amides that are derived
from the squarate oxocarbon dianion. While they have been known since
the 1950s, squaramides have only recently emerged (in the last 10–20
years) as particularly useful chemical entities in a variety of applications.
They have found particular use as bioisosteric replacements of several
heteroatomic functional groups, notably ureas, thioureas, guanidines,
and cyanoguanidines, owing in part to their similar capacity toward
hydrogen bonding and ability to reliably engender defined conformations
in drug ligands. This Review aims to provide a comprehensive overview
of the deployment of squaramides as bioisosteres within the drug design
landscape. Their utility in this space is further rationalized through
an examination of the physicochemical properties of squaramides in
contrast to other functional groups. In addition, we consider the
deployment of related cyclic oxocarbanion derivatives as potential
bioisosteric replacements of ureas and related functional groups.