Evidence map›Paper›PMID 41391033›Full record

ReviewAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

Esketamine/Ketamine: Dual-Action Mechanisms and Clinical Prospects beyond Anesthesia in Psychiatry, Immunology, and Oncology.

Yinxin Wang, Jiangang Xu, Xinyu Zhou, Lu Che, Minghan Qiu, Yang Liu, Ming Gao, Zhen Yang

Abstract readReview
In one paragraph

Review in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Trial
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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

8 authors.

Yinxin WangSchool of Medicine, Nankai University, Tianjin, 300071, China.
Jiangang XuSchool of Medicine, Nankai University, Tianjin, 300071, China.
Xinyu ZhouDepartment of Anesthesiology, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Nankai University, Tianjin, 300121, China.
Lu CheDepartment of Anesthesiology, Tianjin First Central Hospital, Tianjin, 300110, China.
Minghan QiuThe Institute of Translational Medicine, Tianjin Cancer Institute of Integrative Traditional Chinese and Western Medicine, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Nankai University, Tianjin, 300121, China.
Yang LiuKey Laboratory of Functional Polymer Materials of Ministry of Education, College of Chemistry, State Key Laboratory of Medicinal Chemical Biology, Frontiers Science Center for New Organic Matter, Nankai University, Tianjin, 300071, China.
Ming GaoThe Institute of Translational Medicine, Tianjin Cancer Institute of Integrative Traditional Chinese and Western Medicine, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Nankai University, Tianjin, 300121, China.
Zhen YangThe Institute of Translational Medicine, Tianjin Cancer Institute of Integrative Traditional Chinese and Western Medicine, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University, Nankai University, Tianjin, 300121, China.ORCID https://orcid.org/0009-0007-8413-7475

Funding

Natural Science Foundation of Tianjin Municipal Science and Technology Commission 21JCYBJC01190Natural Science Foundation of Tianjin Municipal Science and Technology Commission 24JCYBJC01560Tianjin Health Research Project TJWJ2023QN039Tianjin Municipal Transportation Commission Science and Technology Development Plan Project 2024ZXZD013
6 · The paper itself

Abstract

Esketamine and ketamine are perioperative analgesics and anesthetics that have been widely adopted in clinical practice in Europe and the United States. However, their application in China remains in the early stages of exploration and implementation. Esketamine and ketamine exert their effects through multiple receptors and pathways, but primarily act through non-competitive antagonism of the N-methyl-D-aspartate receptor (NMDAR). However, due to their potential side effects and addictive properties, they are subject to certain regulatory controls and are not readily included in routine pharmaceutical use. This review meticulously and systematically synthesizes the latest research progress on Esketamine and ketamine. Their classical applications, including analgesia, sedation, and anesthesia, as well as antidepressant, anti-tumor, and anti-inflammatory effects, are comprehensively covered. By integrating findings from both preclinical and clinical investigations and taking into full account potential limitations, this review aims to provide profound insights that can effectively inform the clinical utilization and future research directions of ketamine and esketamine as versatile therapeutic agents.

Indexed as

AnalgesicsKetamineAnesthesiaAnimalsHumansMedical OncologyPsychiatryReceptors, N-Methyl-D-AspartateAnalgesicsEsketamineKetamineReceptors, N-Methyl-D-Aspartateanalgesiaantidepressantantitumoresketamineimmune‐inflammatoryketamine

Identifiers

PMID41391033
PMCPMC12866882

What OpenQuestion holds

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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.