In recent years, due to the rapid change of global climate and the transformation of cultivation and tillage system, Scab caused by Fusarium graminearum occurred in a large area, which not only reduces the output of wheat, and seriously affects its quality, but also causes significant economic losses. Wheat infected by gibberella can produce deoxynivalenol (DON) toxin in the grain, which extensively pollute wheat and its products, grains, oils, food and feed, etc. And it is one of the most serious mycotoxins in the world with the largest pollution area and the highest pollution amount. DON can produce a wide range of toxic effects, with strong cytotoxicity, obvious embryo toxicity and certain teratogenicity. Also it seriously threaten food safety, human and animal health. Therefore, the research on the regulation mechanism and prevention and control of DON toxin has become one of the hot issues. In this paper, in order to provide reference on the DON resistance breeding, the advances in the physicochemical properties, toxicity mechanism, distribution of DON and the accumulation mechanism of DON toxin in wheat were reviewed.