Carcinoembryonic antigen-related cell adhesion molecule-1 (CEACAM1) is expressed in a variety of cell types and is implicated in carcinogenesis. Alternative splicing of CEACAM1 pre-mRNA generates two cytoplasmic domain splice variants characterized by the inclusion (L-isoform) or exclusion (S-isoform) of exon 7. Here we show that the alternative splicing of CEACAM1 pre-mRNA is regulated by novel cis elements residing in exon 7. We report the presence of three exon regulatory elements that lead to the inclusion or exclusion of exon 7 CEACAM1 mRNA in ZR75 breast cancer cells. Heterologous splicing reporter assays demonstrated that the maintenance of authentic alternative splicing mechanisms were independent of the CEACAM1 intron sequence context. We show that forced expression of these exon regulatory elements could alter CEACAM1 splicing in HEK-293 cells. Using RNA affinity chromatography, three members of the heterogeneous nuclear ribonucleoprotein family (hnRNP L, hnRNP A1, and hnRNP M) were identified. RNA immunoprecipitation of hnRNP L and hnRNP A1 revealed a binding motif located central and 3 to exon 7, respectively. Depletion of hnRNP A1 or L by RNAi in HEK-293 cells promoted exon 7 inclusion, whereas overexpression led to exclusion of the variable exon. By contrast, overexpression of hnRNP M showed exon 7 inclusion and production of CEACAM1-L mRNA. Finally, stress-induced cytoplasmic accumulation of hnRNP A1 in MDA-MB-468 cells dynamically alters the CEACAM1-S:CEACAM1:L ratio in favor of the L-isoform. Thus, we have elucidated the molecular factors that control the mechanism of splice-site recognition in the alternative splicing regulation of CEACAM1.Maintenance of cell polarity and tissue architecture is vital to the normal growth and differentiation program of epithelial cells (1). Disruption of cell polarity and tissue architecture, which is associated with uncontrolled cell proliferation and differentiation, is a feature of neoplastic transformation (2). A complex network of cell-cell and cell-extracellular matrix interactions mediated in part by adhesion molecules play an important role in epithelial tissue shape and function. Not surprisingly, many cancers have altered expression of various cell adhesion molecules. One of them is CEACAM1, 4 whose aberrant expression has been linked to a variety of carcinomas (3, 4).CEACAM1 is a glycosylated transmembrane protein and is a member of the CEA immunoglobulin superfamily (5). In humans, CEACAM1 pre-mRNA undergoes alternative splicing, giving rise to 11 splice variants (6). All splice variants include a highly conserved N-terminal ectodomain that defines the CEA gene family and is responsible for the homotypic adhesion function of these gene products (5, 7). CEACAM1 is expressed as a type I transmembrane protein in human tissues with 1, 3, or 4 extracellular Ig-like domains and either short or long cytoplasmic domains that engage distinct signal transduction pathways based on their different amino acid sequences (5). The two cytoplasmic domain splice varia...