Platycodin D (PD), a unique oleane-type triterpene saponin found in the roots of Platycodon grandiflorum (Jacq.) A. DC. (PG), has been included in the pharmacopoeia of many countries as a core indicator for quality control of PG. Modern studies have shown that PD has a wide range of pharmacological activities, including antitumor, anti-inflammatory, antioxidant, antifibrotic, antiviral, and multiorgan protective effects, and acts on the nervous system, digestive system, and internal organs of the human body through multiple pathways. In terms of extraction and purification, the traditional solvent method combined with green technologies such as ultrasound and microwave has significantly improved the extraction efficiency, while enzyme-catalyzed conversion of precursor substances and HPLC technology can achieve efficient purification of PD. Pharmacokinetic studies have shown that the oral bioavailability of PD is relatively low. However, the extract of PG can enhance its absorption through component synergy. Meanwhile, enteric-coated and gut microbiota regulation strategies provide new ideas for improving its efficacy. The content determination is mainly carried out by HPLC-ELSD, which is significantly affected by origin, processing methods, and environmental factors. This article systematically reviews the research progress in the extraction and purification, pharmacological activity, pharmacokinetics, and content determination of PD. Meanwhile, it advocates sustainable production and clinical transformation to fully utilize its therapeutic potential.
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