Fig. 5. Three-way interaction between COMT, ESR1, and GCH1 SNPs on COMT activity and TMD risk.
A. COMT enzyme activity (means ± s.e.m.) and B. TMD frequency is plotted for each genotype. The GCH1 rs10483639 C allele increases COMT activity and reduces TMD risk among met carriers, while the ESR1 rs3020377 G allele decreases COMT activity and increases TMD risk among val carriers with only 0 or 1 copy of the GCH1 rs10483639 C allele.