Alport syndrome (AS) is a common hereditary nephropathy, characterized by hematuria, progressive renal failure, erratically associated with sensorineural hearing loss and ocular defects [Kashtan, 1998; Pirson, 1999]. AS is caused by mutations in COL4A3, COL4A4, COL4A5 genes, encoding the α3, α4, α5 chains of type IV collagen, respectively, which is a major constituent of the basement membrane in the kidney, eye, and ear [Kashtan 1999; Hertz et al., 2015; Liu et al., 2017]. X-linked Alport syndrome (XLAS), caused by mutations in the COL4A5 gene, is the most common AS and accounts for 85% [Feingold et al., 1985; Savige et al., 2013]. The genotype-phenotype correlation in XLAS is relatively well established, and splice site mutations tend to cause a moderate severe phenotype [Bekheirnia et al., 2010; Gross et al., 2012]. More than 1,168 mutations in the COL4A5 gene have hitherto been identified among which splicing mutations account for about 13-20% [Hertz et al., 2015]. However, functional analyses of most splicing mutations in AS patients have not been performed. Furthermore, comparative transcript analyses of different nucleotide substitutions at the same position have not been reported.