“…Microarray studies of MMA III ‐ and DMA III ‐exposed NHEKs are lacking in the literature, but many of the transcription trends previously reported in iAs III ‐exposed NHEKs under similar experimental conditions are consistent with those observed in this study [42, 47, 48]. These gene expression results have indicated that in the skin, sustained ROS production and subsequent activation of key signaling pathways that control apoptosis, inflammation, differentiation, and proliferation (especially NF‐κB and MAPK pathways), growth factor overproduction, transcriptional downregulation of DNA repair genes, and therefore decreased DNA repair capacity may play important roles in iAs skin carcinogenesis [19, 46–49, 62, 63]. Comprehensive analyses of gene expression profiles associated with trivalent or pentavalent iAs exposure in a variety of in vitro and in vivo models indicate similar transcriptional alterations occur in a variety of cell types and that several concurrent events (i.e., increased cellular proliferation, chronic exposure to oxidative stress, chronic inflammation, loss of cell‐cycle control, and decreased capacity for DNA repair) may be key driving forces behind iAs carcinogenesis in all target cells [64].…”