Circadian rhythm of intraocular pressure

Abstract Intraocular pressure (IOP) plays a crucial role in glaucoma development, involving the dynamics of aqueous humor (AH). AH flows in from the ciliary body and exits through the trabecular meshwork (TM). IOP follows a circadian rhythm synchronized with the suprachiasmatic nucleus (SCN), the ci...

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Main Author: Keisuke Ikegami
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Journal of Physiological Sciences
Subjects:
Online Access:https://doi.org/10.1186/s12576-024-00905-8
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author Keisuke Ikegami
author_facet Keisuke Ikegami
author_sort Keisuke Ikegami
collection DOAJ
description Abstract Intraocular pressure (IOP) plays a crucial role in glaucoma development, involving the dynamics of aqueous humor (AH). AH flows in from the ciliary body and exits through the trabecular meshwork (TM). IOP follows a circadian rhythm synchronized with the suprachiasmatic nucleus (SCN), the circadian pacemaker. The SCN resets peripheral clocks through sympathetic nerves or adrenal glucocorticoids (GCs). IOP's circadian rhythm is governed by circadian time signals, sympathetic noradrenaline (NE), and GCs, rather than the local clock. The activity of Na+/K+-ATPase in non-pigmented epithelial cells in the ciliary body can influence the nocturnal increase in IOP by enhancing AH inflow. Conversely, NE, not GCs, can regulate the IOP rhythm by suppressing TM macrophage phagocytosis and AH outflow. The activation of the β1-adrenergic receptor (AR)-mediated EPAC-SHIP1 signal through the ablation of phosphatidylinositol triphosphate may govern phagocytic cup formation. These findings could offer insights for better glaucoma management, such as chronotherapy.
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spelling doaj-art-d86fdf9902f54468bb67cd90d90204fb2025-08-20T03:24:15ZengElsevierJournal of Physiological Sciences1880-65622024-03-017411910.1186/s12576-024-00905-8Circadian rhythm of intraocular pressureKeisuke Ikegami0Laboratory of Regulation in Metabolism and Behavior, Faculty of Agriculture, Kyushu UniversityAbstract Intraocular pressure (IOP) plays a crucial role in glaucoma development, involving the dynamics of aqueous humor (AH). AH flows in from the ciliary body and exits through the trabecular meshwork (TM). IOP follows a circadian rhythm synchronized with the suprachiasmatic nucleus (SCN), the circadian pacemaker. The SCN resets peripheral clocks through sympathetic nerves or adrenal glucocorticoids (GCs). IOP's circadian rhythm is governed by circadian time signals, sympathetic noradrenaline (NE), and GCs, rather than the local clock. The activity of Na+/K+-ATPase in non-pigmented epithelial cells in the ciliary body can influence the nocturnal increase in IOP by enhancing AH inflow. Conversely, NE, not GCs, can regulate the IOP rhythm by suppressing TM macrophage phagocytosis and AH outflow. The activation of the β1-adrenergic receptor (AR)-mediated EPAC-SHIP1 signal through the ablation of phosphatidylinositol triphosphate may govern phagocytic cup formation. These findings could offer insights for better glaucoma management, such as chronotherapy.https://doi.org/10.1186/s12576-024-00905-8Circadian rhythmGlucocorticoidsSympathetic nerve systemAqueous humorCiliary bodyTrabecular meshwork
spellingShingle Keisuke Ikegami
Circadian rhythm of intraocular pressure
Journal of Physiological Sciences
Circadian rhythm
Glucocorticoids
Sympathetic nerve system
Aqueous humor
Ciliary body
Trabecular meshwork
title Circadian rhythm of intraocular pressure
title_full Circadian rhythm of intraocular pressure
title_fullStr Circadian rhythm of intraocular pressure
title_full_unstemmed Circadian rhythm of intraocular pressure
title_short Circadian rhythm of intraocular pressure
title_sort circadian rhythm of intraocular pressure
topic Circadian rhythm
Glucocorticoids
Sympathetic nerve system
Aqueous humor
Ciliary body
Trabecular meshwork
url https://doi.org/10.1186/s12576-024-00905-8
work_keys_str_mv AT keisukeikegami circadianrhythmofintraocularpressure