p21-activated kinase (Pak)-interacting exchange factor (Pix), a Rho family guanine nucleotide exchange factor (GEF), has been shown to co-localize with Pak and form activated Cdc42-and Rac1-driven focal complexes. In this study we have presented evidence that treatment of human mesangial cells (HMC) with endothelin 1 (ET-1) and stimulation of adenylate cyclase with either forskolin or with the cAMP analog 8-Br-cAMP activated the GTP loading of Cdc42. Transient expression of constitutively active G␣ s also stimulated Cdc42. In addition, overexpression of  1 Pix enhanced ET-1-induced Cdc42 activation, whereas the expression of  1 Pix SH3m(W43K), which lacks the ability to bind Pak, and  1 PixDHm(L238R/L239S), which lacks GEF activity, decreased ET-1-induced Cdc42 activation. Mesangial cells are smooth muscle-like cells situated within the renal glomerulus that play an important role in regulating glomerular filtration and function, both by contraction and release of proinflammatory substances. Endothelin (ET), 1 a potent vasoconstrictor peptide implicated in chronic renal diseases, plays a crucial role in the physiology and pathology of glomerular cells. ET release is increased in response to inflammatory cytokines, suggesting that ET-1 synthesis might increase in glomerulonephritis by intrinsic glomerular cells such as glomerular endothelial, mesangial, and epithelial cells (1). Two receptors for ET isopeptides, ET A and ET B , are G proteincoupled receptors with seven transmembrane domains (2, 3). ET not only stimulates mesangial cell proliferation (4) but also increases the expression of extracellular matrix proteins such as collagen and fibronectin (5) and induces active cytoskeletal rearrangement. This process is governed largely by the precise temporal and spatial modulation of small GTPase proteins of the Rho family, Cdc42, Rac, and RhoA.Cdc42 and Rac1 function as molecular switches (6, 7). They are converted from the GDP-bound inactive form to a GTPbound active state by a reaction catalyzed by guanine nucleotide exchange factors (GEFs) (8). Since their identification, GEFs have become increasingly involved in mediating the effects of G protein-coupled receptor agonists. Recently, a Cdc42/ Rac-GEF termed Pix (Pak-interacting exchange factor) was identified (9). Pix has a diffuse B cell lymphoma homology (DH) domain and a flanking pleckstrin homology domain, which are conserved in all of the GEFs for Rho GTPases. Pix family proteins consist of two isoforms, ␣Pix and Pix, and recently a new splice variant of Pix designated  2 Pix has been identified (10). The human Pix family bind tightly through an N-terminal SH3 domain to a conserved proline-rich Pak sequence located at the C terminus and are colocalized with Pak to form activated Cdc42-and Rac1-driven focal complexes (9). Recently, Pix has been shown to form a trimolecular complex with Pak1 and p95PKL (also known as G protein-coupled receptor kinaseinteracting target, GIT1) (11). Furthermore, tyrosine-phosphorylated p95PKL can also bind paxillin (12,...