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agents and nucleophiles [49]. They are generally used as protecting groups in synthesis and sometimes for prodrug approaches, rather than as critical structural drug motifs.

Schematic illustration of a chemical reaction depicting summary of common strategies for the synthesis of common four-membered rings encountered in spirocyclic systems of medicinal chemistry interest. Schematic illustration of the comparison between carbonyl, gem-dimethyl, and oxetane groups, highlighting similar spatial arrangement of lone pairs and hydrophobic bulk.

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