Disruption of 24-hour rhythm in intraocular pressure correlates with retinal ganglion cell loss in glaucoma

Vladimir Neroev, Tatyana Malishevskaya, Dietmar Weinert, Sergei Astakhov, Sergey Kolomeichuk, Germaine Cornelissen, Yana Kabitskaya, Elena Boiko, Irina Nemtsova, Denis Gubin

Research output: Contribution to journalArticlepeer-review


Parameters of 24-h rhythm in intraocular pressure (IOP) were assessed in patients with stable or advanced primary open-angle glaucoma (S-POAG/A-POAG) and referenced to the phase of ‘marker’ circadian temperature rhythm of each patient. Body temperature and IOP were measured over a 72-h span in 115 participants (65 S-POAG and 50 A-POAG). Retinal Ganglion Cell (RGC) damage was assessed by high-definition optical coherence tomography. The 24-h IOP rhythm in A-POAG patients peaked during the night, opposite to the daytime phase position in S-POAG patients (p < 0.0001). The 24-h IOP phase correlated with RGC loss (p < 0.0001). The internal phase shift between IOP and body temperature gradually increased with POAG progression (p < 0.001). Angiotensin converting enzyme Alu-repeat deletion/insertion (ACE I/D) emerged as a candidate gene polymorphism, which may play a role in the alteration of the circadian IOP variability in advanced glaucoma. To conclude, a reliable estimation of the 24-h rhythm in IOP requires the degree of RGC damage to be assessed. In advanced POAG, the 24-h phase of IOP tended to occur during the night and correlated with RGC loss, being progressively delayed relative to the phase of temperature.

Original languageEnglish (US)
Article number359
Pages (from-to)1-18
Number of pages18
JournalInternational journal of molecular sciences
Issue number1
StatePublished - Jan 1 2021

Bibliographical note

Funding Information:
Funding: This research was funded by the Russian Foundation for Basic Research, grant number 19-015-00329.

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.


  • Angiotensin converting enzyme gene
  • Circadian
  • Glaucoma
  • Intraocular pressure
  • Optical coherence tomography
  • Retinal ganglion cells
  • Temperature

PubMed: MeSH publication types

  • Journal Article


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