The search for fundamental determinants of bio-molecular chirality is a hot topic in biology, clarifying the meaning of evolution and the enigma of life's origin. Non-biological and biological entities obey the universal laws of nature grounded on space-time symmetry (STS) transformations. The fabric of STS is the immense subject of our review. The symmetry, encompassing behavior of elementary particles and galaxy structure, imposes its fundamental laws on all hierarchical levels of the biological world. Objects across spatial scales may be classified as chiral or achiral concerning a specific space-related symmetry transformation - mirror reflection. Chirality as a symmetry element reflecting the property of asymmetry (or dissymmetry) is the critical structural feature of natural systems, including sub-atomic particles and living matter. The inheritance of molecular symmetry from the symmetry of elementary particles points to the bi-directional causal pathway of prevalent bio-chirality. We assume that both extremities of spatial dimension naturally influence this transitional state of biological matter. The current review promotes an integrative holistic approach to the new experimental results in fast-developing and divergent branches of STS and biological chirality. The generalized view on biological chirality is a necessary and promising avenue for adequately understanding the link between protein folding, cell morphology, neuronal signaling, and laterality of cognitive functions.