Glycosaminoglycans (GAGs) are very complex, natural anionic polysaccharides. They
are polymers of repeating disaccharide units of uronic acid and hexosamine residues. Owing to their
template-free, spatiotemporally-controlled, and enzyme-mediated biosyntheses, GAGs possess
enormous polydispersity, heterogeneity, and structural diversity which often translate into multiple
biological roles. It is well documented that GAGs contribute to physiological and pathological processes
by binding to proteins including serine proteases, serpins, chemokines, growth factors, and
microbial proteins. Despite advances in the GAG field, the GAG-protein interface remains largely
unexploited by drug discovery programs. Thus, Non-Saccharide Glycosaminoglycan Mimetics
(NSGMs) have been rationally developed as a novel class of sulfated molecules that modulate
GAG-protein interface to promote various biological outcomes of substantial benefit to human
health. In this review, we describe the chemical, biochemical, and pharmacological aspects of recently
reported NSGMs and highlight their therapeutic potentials as structurally and mechanistically
novel anti-coagulants, anti-cancer agents, anti-emphysema agents, and anti-viral agents. We also
describe the challenges that complicate their advancement and describe ongoing efforts to overcome
these challenges with the aim of advancing the novel platform of NSGMs to clinical use.