Submitted:
07 June 2026
Posted:
09 June 2026
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Abstract
Keywords:
1. Introduction
1.1. Chitosan: Important Natural Polysaccharide
1.1.1. From Chitin to Chitosan—Origin and Structural Composition
1.1.2. Characteristics of Chitosan
1.2. The Antibiotic Crisis—Looking for Alternatives to Classic Antibiotic Treatment
1.3. Identification of Research Gaps and the Objective of the Study
2. Materials and Methods
2.1. Literature Review Draft
2.2. Timeframe and Databases Analyzed
2.3. Strategy for Search
2.4. Eligibility Criteria
2.5. Article Selection Process
2.6. Data Extraction
2.7. Data Normalization and Transformation
2.8. Grouping and Analysis
2.9. Assessment of Research Quality (Risk of Bias)
2.10. Quantitative Synthesis and Statistical Modelling
- Snedecor’s F-test (Analysis of Variance—ANOVA), F = 1.71 × 10^(−11) < 0.001, highly significant for N = 108
- Student’s t-test (for the regression coefficient,
3. Results
3.1. Structure of the Studied Microorganism Population
3.2. Impact of Molecular Weight (MW) and Degree of Deacetylation (DD) & DD) on Antimicrobial Activity
3.3. Demonstration of the Impact of Physicochemical Properties on Antimicrobial Activity


3.4. Statistical Analysis of Factors Determining the Highest Antimicrobial Activity




3.5. Statistical Assessment of Activity Predictors and Dualistic Mechanism of Action
4. Discussion
- Low molecular weight (LMWC): demonstrates an ability to penetrate the cell walls of microorganisms and the cell membrane due to its smaller hydrodynamic volume. Once inside the cytoplasm, LMWC interacts electrostatically with negatively charged intracellular macromolecules, such as DNA and RNA, thereby directly inhibiting transcription, protein synthesis, and key metabolic pathways [34,35].
- High molecular weight (HMWC): abundant positively charged amino groups in HMWC interact electrostatically with the negatively charged cell wall. This leads to the formation of a dense polymer coating disordering normal cell metabolism, and its action focuses on binding essential metals, preventing the flow of nutrients and modifying cell permeability [34,35].
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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| No. | Genus Name | Species Epithet | Gram Staining | Number of Samples | Percentage Share |
| 1 | Staphylococcus | aureus | Positive | 31 | 24.4% |
| 2 | Escherichia | coli | Negative | 21 | 16.5% |
| 3 | Pseudomonas | aeruginosa | Negative | 8 | 6.3% |
| 4 | Streptococcus | mutans | Positive | 6 | 4.7% |
| 5 | Bacillus | subtilis | Positive | 5 | 3.9% |
| 6 | Candida | albicans | N/A | 5 | 3.9% |
| 7 | Roseburia | intestinalis | Negative | 4 | 3.1% |
| 8 | Bacteroides | thetaiotaomicron | Negative | 4 | 3.1% |
| 9 | Streptococcus | sobrinus | Positive | 4 | 3.1% |
| 10 | Bacteroides | vulgatus | Negative | 4 | 3.1% |
| 11 | Clostridium | beijerinckii | Positive | 4 | 3.1% |
| 12 | Faecalibacterium | prausnitzii | Positive | 4 | 3.1% |
| 13 | Clostridium | paraputrificum | Positive | 4 | 3.1% |
| 14 | Others | 23 | 18.1% | ||
| TOTAL | 127 | 100% |
| MW (kDa)\ DD (%) | 50 | 100 | 200 | 400 |
| 60 | 3.93 | 3.91 | 3.87 | 3.80 |
| 65 | 3.73 | 3.71 | 3.67 | 3.60 |
| 70 | 3.53 | 3.51 | 3.47 | 3.40 |
| 75 | 3.33 | 3.31 | 3.27 | 3.20 |
| 80 | 3.13 | 3.11 | 3.07 | 3.00 |
| 85 | 2.93 | 2.91 | 2.87 | 2.80 |
| 90 | 2.73 | 2.71 | 2.67 | 2.60 |
| 95 | 2.53 | 2.51 | 2.47 | 2.40 |
| 100 | 2.33 | 2.31 | 2.27 | 2.20 |
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