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Natural polysaccharides are essential macromolecules found in both plant and animal kingdoms, playing significant roles in food, medicine, biomaterials, and packaging. Deep eutectic solvents (DES), formed through hydrogen-bond interactions, offer simple synthesis, eco-friendliness, and lower melting points. This review demonstrates DES-mediated multi-modal extraction techniques (ultrasound, microwave, pressure, etc.) achieves 1.45–4.30-fold higher polysaccharide yields versus hot water extraction. Specifically, wolfberry fruits showed 2.44-fold increase, Ganoderma lucidum exhibited 4.30-fold enhancement, and Camellia oleifera fruit shells demonstrated 1.45-fold improvement. DES modifies key structural parameters including molecular weight reduction, degree of esterification decrease, and morphology changes (smaller particle sizes with enhanced porosity). Enhanced bioactivities include: DPPH• scavenging capacity increased 15–30 %, anti-glycation inhibition reached 87.63 % versus 71.52 % for water extraction in Polygonatum odoratum , and superior α-glucosidase inhibition for diabetes management in multiple sources. This article reviews DES origins, synthesis, synergy with multi-modal techniques, and supports further research and industrial implementation.
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