Evidence map›Paper›PMID 42857457›Full record

ReviewFrontiers in bioengineering and biotechnology2026

Chitosan in regenerative medicine: a translational perspective on biomaterial design.

Adrianna Banach-Kopeć, Lisa Gugler, Karol Staszczyk, Szymon Mania, Agnes S Klar, Robert Tylingo

Abstract readReview
In one paragraph

Review in Frontiers in bioengineering and biotechnology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adrianna Banach-KopećDepartment of Chemistry, Technology and Biotechnology of Food, Faculty of Chemistry, Gdańsk University of Technology, Gdansk, Poland.
Lisa GuglerTissue Biology Research Unit, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Karol StaszczykDepartment of Chemistry, Technology and Biotechnology of Food, Faculty of Chemistry, Gdańsk University of Technology, Gdansk, Poland.
Szymon ManiaDepartment of Chemistry, Technology and Biotechnology of Food, Faculty of Chemistry, Gdańsk University of Technology, Gdansk, Poland.
Agnes S KlarTissue Biology Research Unit, Department of Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
Robert TylingoDepartment of Chemistry, Technology and Biotechnology of Food, Faculty of Chemistry, Gdańsk University of Technology, Gdansk, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chitosan is an aminopolysaccharide platform with broad relevance to regenerative medicine because its charge density, solubility, degradation, processability, and biological interactions can be adjusted through source selection, deacetylation chemistry, molecular-weight control, derivatization, and formulation. However, this tunability is accompanied by substantial source- and process-dependent variability, which represents a central translational challenge: materials labelled as chitosan can differ markedly in degree of deacetylation, molecular weight, pattern of acetylation, polydispersity, purity, endotoxin and β-glucan burden, residual reagents, sterilization history, and final architecture. This review synthesizes chitosan regenerative biomaterials from a translational design perspective. We examine raw-material provenance, crustacean and fungal sources, extraction and deacetylation routes, physicochemical determinants, medical-grade purity requirements, host-biointerface mechanisms, antimicrobial activity, scaffolds, hydrogels, coatings, bioinks, polymer composites, and functionalization with growth factors, drugs, peptides, and extracellular vesicles. We also address ethical, cell-related, regulatory, and manufacturing issues that arise when chitosan is combined with animal-derived inputs, antibiotics, growth factors, living cells, or extracellular-vesicle preparations. Across applications, the evidence indicates that chitosan should not be treated as a universally biocompatible, universally antimicrobial, or intrinsically regenerative polymer. Rather, it is a tunable, formulation-dependent biomaterial platform whose performance depends on defined chemical attributes, exposure route, biological context, and clinically relevant comparators. Translation will require standardized reporting of degree of deacetylation, molecular weight, acetylation pattern, purity, endotoxin and β-glucan controls, sterilization effects, degradation, release kinetics, post-release bioactivity, and product-specific biological evaluation. Regulatory-aware design, reproducible manufacturing, and mechanism-linked potency assays are essential for moving chitosan-based regenerative systems from promising preclinical constructs toward credible clinical products.

Indexed as

biomaterialsbiomaterial translationchitosanregenerative medicinetissue engineering

Identifiers

PMID42857457
PMCPMC13650546

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.