RAS-like protein expressed in many tissues 1 (RIT1) is a disease-associated RAS subfamily small guanosine triphosphatase (GTPase). Recent studies revealed that germ-line and somatic RIT1 mutations can cause Noonan syndrome (NS), and drive proliferation of lung adenocarcinomas, respectively, akin to RAS mutations in these diseases. However, the locations of these RIT1 mutations differ significantly from those found in RAS, and do not affect the three mutational "hot spots" of RAS. Moreover, few studies have characterized the GTPase cycle of RIT1 and its disease-associated mutants. Here we developed a realtime NMR-based GTPase assay for RIT1 and investigated the effect of disease-associated mutations on GTPase cycle. RIT1 exhibits an intrinsic GTP hydrolysis rate similar to that of H-RAS, but its intrinsic nucleotide exchange rate is ϳ4-fold faster, likely as a result of divergent residues near the nucleotide binding site. All of the disease-associated mutations investigated increased the GTP-loaded, activated state of RIT1 in vitro, but they could be classified into two groups with different intrinsic GTPase properties. The S35T, A57G, and Y89H mutants exhibited more rapid nucleotide exchange, whereas F82V and T83P impaired GTP hydrolysis. A RAS-binding domain pulldown assay indicated that RIT1 A57G and Y89H were highly activated in HEK293T cells, whereas T83P and F82V exhibited more modest activation. All five mutations are associated with NS, whereas two (A57G and F82V) have also been identified in urinary tract cancers and myeloid malignancies. Characterization of the effects on the GTPase cycle of RIT1 disease-associated mutations should enable better understanding of their role in disease processes.Small GTPase proteins regulate signal transduction through a conserved "switch" mechanism (1). The GTP-bound state of these proteins adopts an activated conformation that can bind to and activate downstream effector proteins, thus driving signal transduction. Hydrolysis of GTP to GDP then terminates the signaling event (Fig. 1A). GTPase proteins have the ability to hydrolyze GTP (intrinsic hydrolysis), and to become reactivated by releasing GDP and binding a new molecule of GTP (intrinsic exchange), although both of these processes occur slowly. Most GTPases can be rapidly inactivated by GTPaseactivating proteins (GAPs), 6 which catalyze nucleotide hydrolysis, whereas guanine nucleotide exchange factors (GEFs) promote their reactivation by accelerating the exchange of GDP for GTP. Mutations in small GTPases or their GAPs and GEFs can disrupt this GTPase cycle and result in diseases such as cancer and developmental disorders (2, 3).Recent genetic analyses of Noonan syndrome (NS) patients have shown that mutations in RIT1 can cause this condition (Fig. 1B and Table 1) (4 -11). NS is a "RASopathy" characterized by short stature, distinctive facial features, and heart defects, caused by mutations in several RAS signaling pathway genes, including PTPN11, SOS1/2, RAF1, KRAS, NRAS,. RIT1 belongs to the RAS subfamily, sha...