RAC1 and breast carcinoma: For example, heregulin stimulation of ErbB3 and ErbB4 causes upregulation of C-X-C chemokine receptor type 4 (CXCR4) and increases Rac1 activation through a stromal cell-derived factor (SDF)-1-CXCR4 mediated PREX1 GEF mechanism in breast cancer cells [93].