“…However, not much work has been done on epigenetic changes that could be involved in the etiopathogenesis of GBC. This is especially important because epigenetic changes are emerging as a mechanism involved in toxicantinduced malignant transformation for environmental and occupational carcinogens such as arsenicals, cadmium 1,3-butadine, pesticides, pharmaceutical and biological agents [36][37][38][39]. Epigenetic alterations have been reported in cancer of the breast [40,41], lung [42], prostate [43], cervix [44], colorectal [45,46], esophagus [47], stomach [48], head and neck squamous cell carcinoma [49], urinary bladder [50] and osteosarcoma [51].…”