“…A major function of GIV's GEF motif is to enhance the activation of the phosphoinositide 3 kinase (PI3K)-Akt pathway in response to different stimuli (8,(10)(11)(12)(13). GIV has been shown to be essential for cell migration during a variety of physiologic and pathologic processes, i.e., wound healing (14), macrophage chemotaxis (14), tumor cell migration (8,10), neuronal development (12), and endothelial cell migration (15), as well as for inhibiting autophagy (16). Importantly, expression of GIV is dysregulated during cancer progression; in poorly metastatic carcinomas, full-length GIV is replaced by a GEF-deficient isoform via alternative splicing whereas, in highly metastatic carcinomas, the full-length isoform of GIV containing the GEF motif is up-regulated, and its expression correlates with decreased patient survival (10,17).…”