Abstract
Cortistatins and plakinamines represent a unique class of marine-derived steroidal alkaloids, renowned for their structural diversity and potent pharmacological activities. This review provides a comprehensive overview of their chemical characteristics, pharmacological profiles, pharmacokinetics, and drug-likeness properties, with a particular focus on structure-activity relationships (SARs). Indeed, we explored their distinct molecular architectures and classification within the broader family of marine alkaloids, highlighting key subclasses and derivatives identified through advanced analytical techniques. Their broad-spectrum bioactivities, including anticancer, anti-inflammatory, antimicrobial, and antiviral effects, are discussed in detail, supported by insights into SARs and pharmacophore identification that illuminate the molecular basis of their bioactivity. Additionally, we evaluate their pharmacokinetic attributes, including absorption, distribution, metabolism, and elimination (ADME), alongside their compliance with drug-likeness criteria, offering a holistic perspective on their potential for drug development.