RAC1 regulates Sonic Hedgehog-medulloblastoma growth via GLI-mediated transcription

Nitish Jangde1, Mi Hye Lee1, Luz Ruiz1

  • 1Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Georgetown University, Washington, DC, USA.

Neuro-Oncology
|March 20, 2026
PubMed
Abstract

Insights

Targeting RAC1, a key regulator of cell migration, shows promise for treating medulloblastoma (MB). The RAC1 inhibitor GYS32661 effectively reduced SHH-MB tumor growth and improved survival in preclinical models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Neuroscience

Background:

  • Medulloblastoma (MB) is a common pediatric brain tumor with limited treatment options.
  • Current therapies struggle to prevent tumor spread and metastasis.
  • RAC1, a GTPase involved in cell migration, is implicated in other cancers but unexplored in MB.

Purpose of the Study:

  • To investigate the role of RAC1 in SHH-subtype medulloblastoma.
  • To evaluate the therapeutic potential of a novel RAC1 inhibitor, GYS32661.

Main Methods:

  • Examined RAC1 activity in human and mouse MB models.
  • Utilized RNAi knockdown, pharmacologic inhibition (GYS32661), and transcript profiling.
  • Assessed GYS32661 efficacy, brain penetration, and toxicity in preclinical models.

Main Results:

  • RAC1 activity was significantly elevated in MB tissue.
  • RAC1 inhibition suppressed SHH-MB cell proliferation and migration.
  • GYS32661 demonstrated efficacy in reducing tumor growth and improving survival in vivo without toxicity.

Conclusions:

  • RAC1 is a critical regulator of SHH signaling and epigenetic mediators in medulloblastoma.
  • RAC1 represents a druggable target for SHH-dependent MB.
  • GYS32661 is a promising drug candidate for treating SHH-MB.

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