Evidence map›Paper›PMID 42909528›Full record

ReviewCurrent oncology reports2026

Ketamine Beyond Anaesthesia: Analgesic, Psychiatric, Antitumour, and Immunomodulatory Actions and Their Signalling Mechanisms.

Kihwan Lee, Jung Hoon Jung, Joseph Lee, Jin Woo Lee, Chul-Ho Jeong, Eui-Jun Kim, Sooyeun Lee

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current oncology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Kihwan Lee *Department of Neurobiology and Physiology, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, 03080, Republic of Korea.
Jung Hoon Jung *College of Pharmacy, Keimyung University, Daegu, 42601, Republic of Korea.
Joseph LeeDepartment of Psychology, University of Toronto, Toronto, ON, M5S 3G3, Canada.
Jin Woo LeeCollege of Pharmacy, Keimyung University, Daegu, 42601, Republic of Korea.
Chul-Ho JeongCollege of Pharmacy, Keimyung University, Daegu, 42601, Republic of Korea.
Eui-Jun KimMcArdle Laboratory for Cancer Research, University of Wisconsin-Madison, Madison, WI, 53705, USA. euijunkim@cku.ac.kr.
Sooyeun LeeCollege of Pharmacy, Keimyung University, Daegu, 42601, Republic of Korea. sylee21@kmu.ac.kr.

Funding

National Research Foundation of Korea RS-2024-00338184National Research Foundation of Korea RS-2026-25504778National Research Foundation of Korea RS-2026-25599399
6 · The paper itself

Abstract

purpose of reviewTo synthesize current evidence on ketamine for cancer-related pain and its intersecting psychiatric, anti-tumor, and immunomodulatory actions, emphasizing mechanisms, clinical relevance, and uncertainties relevant to oncology. RECENT

findingsKetamine provides analgesia primarily through non-competitive antagonism of N-methyl-D-aspartate receptors and additional effects on excitatory, inhibitory, and opioid-related signaling. In patients with refractory cancer pain, it may be a useful adjunct to opioid-based multimodal analgesia and may reduce opioid requirements; however, clinical evidence remains limited and heterogeneous. Its rapid antidepressant effects may be relevant to the reciprocal burden of pain and depressive symptoms in cancer. Preclinical studies report antiproliferative, pro-apoptotic, and ferroptosis-associated effects across several tumor models, involving phosphoinositide 3-kinase/protein kinase B/mechanistic target of rapamycin, extracellular signal-regulated kinase, and non-coding RNA-associated pathways. These findings are not uniform: breast cancer models have suggested potentially pro-metastatic effects. Immune effects are likewise dose-, context-, and perioperative-setting dependent, with reports of anti-inflammatory, immunosuppressive, and neutral effects. Ketamine is a potentially valuable opioid-sparing adjunct for selected patients with cancer-related pain and may also address comorbid depressive symptoms. Its putative direct anti-tumor and immunomodulatory actions remain predominantly preclinical and context dependent and should not currently guide oncologic treatment decisions. Appropriately powered clinical studies should define patient selection, dose and route, duration, safety, immune consequences, and long-term oncologic outcomes.

Indexed as

AnalgesicsAntineoplastic AgentsCancer PainKetamineNeoplasmsAnimalsHumansSignal TransductionAnalgesicsAntineoplastic AgentsKetamineCancer pain-related depression (CPD)KetamineNMDA receptor antagonismOncogenic signaling pathwaysOpioid-sparing effect

Identifiers

PMID42909528

What OpenQuestion holds

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Registered trials

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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.