Squalamine, a water-soluble cationic steroid that was originally isolated during the 1990s from the dogfish Squalus acanthias, has begun to attract attention due to its significant antimicrobial activities against fungi, Gram-positive and Gram-negative bacteria. Additionally, this unusual sulfated aminosterol could be a very promising leader of a new class of drugs in the antiangiogenic, anticancer and antiviral fields. In this chapter, a current overview is provided of all the potentialities of this remarkable aminosteroid and its mimics in human disease treatment.The squalamine story began in late July 1989, when Dr M. Zasloff was invited to speak about magainin antibiotic peptides at Mount Desert Island Marine Biological Laboratory j 265