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FYVE, RhoGEF and PH domain-containing protein 5 (FGD5) is a multidomain enzyme that acts as a guanine-nucleotide exchange factor (GEF), primarily activating the Rho GTPase Rac1, and in some contexts Cdc42[1][4]. It contains FYVE, Dbl homology (DH), and pleckstrin homology (PH) domains required for membrane recruitment, GTPase interaction, and catalytic activity[1]. FGD5 is expressed in endothelial cells, where it regulates angiogenesis downstream of factors such as VEGF[1][4]. It also marks hematopoietic stem cells in bone marrow[5]. Amplification and increased expression of FGD5 have been linked to breast cancer proliferation, with variable impact on prognosis[2]. It is considered a therapeutic target in oncology and cardiovascular biology, with experimental drug inhibition studied in vitro[1].
Direct inhibition of the GEF enzymatic activity (block GDP-GTP exchange on Rac1/Cdc42)
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