Prevention of skipping of exon 7 during pre-mRNA splicing of Survival Motor Neuron 2 (SMN2) holds the promise for cure of spinal muscular atrophy (SMA), a leading genetic cause of infant mortality. Here, we report T-cell-restricted intracellular antigen 1 (TIA1) and TIA1-related (TIAR) proteins as intron-associated positive regulators of SMN2 exon 7 splicing. We show that TIA1/TIAR stimulate exon recognition in an entirely novel context in which intronic U-rich motifs are separated from the 5 splice site by overlapping inhibitory elements. TIA1 and TIAR are modular proteins with three N-terminal RNA recognition motifs (RRMs) and a C-terminal glutamine-rich (Q-rich) domain. Our results reveal that any one RRM in combination with a Q domain is necessary and sufficient for TIA1-associated regulation of SMN2 exon 7 splicing in vivo. We also show that increased expression of TIA1 counteracts the inhibitory effect of polypyrimidine tract binding protein, a ubiquitously expressed factor recently implicated in regulation of SMN exon 7 splicing. Our findings expand the scope of TIA1/TIAR in genome-wide regulation of alternative splicing under normal and pathological conditions.Current estimates suggest that 95 to 100% of human genes with two or more exons are alternatively spliced, affecting all major aspects of cellular metabolism under normal and pathological conditions (12, 42). The mechanism of alternative splicing involves a complex combinatorial control in which exonic and intronic splicing enhancers (ESEs and ISEs, respectively), and silencers (ESSs and ISSs, respectively) play significant roles. In general, serine-and arginine-rich (SR) proteins promote exon inclusion through interactions with ESEs, whereas heteronuclear ribonucleoproteins (hnRNPs) promote exon exclusion through interactions with ESSs and ISSs (13, 34). Most of these proteins contain at least one RNA recognition motif (RRM) that is responsible for providing target specificity (11). Depending on the site of binding, SR proteins can also promote exon skipping, and hnRNPs can promote exon inclusion (17,26). Alternative splicing is also regulated by several other factors not related to SR proteins and hnRNPs. In addition, RNA structures that directly or indirectly affect spliceosome assembly and catalytic core formation could modulate the outcome of splicing (42, 47).The splicing reaction calls for the highest degree of precision since a shift in splicing position by 1 nucleotide could have devastating consequences (12). The biggest challenge in our understanding of alternative splicing emanates from our inability to fully comprehend the combinatorial control exerted by cis elements. Using functional or genomic approaches, a vast majority of studies have concentrated on deciphering the nature of cis elements located within exons (6,27,61,63,66). Very few studies have been dedicated to intronic cis elements, mostly focusing on the regions that flank exonic sequences (59,65,66,69). Recent genome-wide analyses of intronic sequences revealed significant ...