RhoGEFs as Therapeutic Targets 1.1 Introduction. 1.1.1 The relevance Rho GTPase exchange factors as therapeutic targets. Rho GTPase signaling pathways are major regulators of eukaryotic cell dynamics, which control normal and pathological processes (Cook et al., 2014). They participate in cell migration, morphology, polarity and differentiation during embryonic development(Duquette and Lamarche-Vane, 2014; Fort and Théveneau, 2014). They are also involved in the pathological mechanisms of a variety of diseases, including hypertension(Shimokawa et al., 2016), cancer(Lin and Zheng, 2015), and neurodegenerative diseases(Stankiewicz and Linseman, 2014). Mammals have 20 Rho GTPases(Boureux et al., 2007) and 82 Rho GTPase exchange factors (RhoGEFs) that distribute between two families: the Dbl-related and the Dock-related RhoGEFs. The Dbl family counts 71 members (Jaiswal et al., 2013)(Cook et al., 2014) and there are 11 proteins in the Dock family(Gadea and Blangy, 2014). They activate RhoGTPase via their catalytic domain called the DH domain for the Dbl family or the DHR2 domain for the Dock family. The RhoGEFs are multidomain proteins: their catalytic domain is accompanied by various functional domains that can mediate the association of the GEF with membrane receptors or lipids for instance, or that provide the GEF with other enzymatic activities, such as kinase, phosphatase, or even GEF or GAP function towards other Ras-like GTPases. Rho GTPase signaling pathways can be targeted at various levels: the GTPases themselves but also GEFs, GAPs and downstream effectors.