Alternative splicing involving the 3 tandem splice site NAGNAG sequence may play a role in the structurefunction diversity of proteins. However, how 3 tandem splice site utilization is determined is not well understood. We previously demonstrated that 3 NAGNAG-based wobble splicing occurs mostly in a tissueand developmental stage-independent manner. Bioinformatic analysis reveals that the nucleotide preceding the AG dinucleotide may influence 3 splice site utilization; this is also supported by an in vivo splicing assay. Moreover, we found that the intron sequence plays an important role in 3 splice site selection for NAGNAG wobble splicing. Mutations of the region between the branch site and the NAGNAG 3 splice site, indeed, affected the ratio of the distal/proximal AG selection. Finally, we found that single nucleotide polymorphisms around the NAGNAG motif could affect the splice site choice, which may lead to a change in mRNA patterns and influence protein function. We conclude that the NAGNAG motif and its upstream region to the branch point sequence are required for 3 tandem splice site selection.Introns of precursor mRNA are removed by splicing, and exons are ligated to form mature mRNAs, which can be translated to produce proteins (15, 27). In higher eukaryotes, the essential cis elements of an intron include the 5Ј splice site (GT), the branch point sequence (BPS), the polypyrimidine tract (PPT), and the 3Ј splice site (AG) (5). The splicing reaction involves two catalytic steps, as follows: (i) the branch point attacks the 5Ј splice site to generate the splicing intermediates, and (ii) the released 5Ј exon attacks at the 3Ј splice site to generate the ligated exons and lariat intron. These two steps occur in the spliceosome complex containing five small nuclear RNAs (U1, U2, U4/U6, and U5) and more than 150 protein factors (12,28,30). Recognition of the splice sites needs to be precise and involves an interaction between the cis elements and trans-acting factors (23).Alternative splicing has recently emerged as a major mechanism of posttranscriptional regulation in the human genome and occurs in Ͼ60% of human genes (3); the high frequency of this alternative splicing in human is supported by expressed sequence tag (EST)-based database analysis (4, 16). Recently, Wen et al. (38) reported that very short alternative splicing in the human genome might alter protein structures and thus influence protein function. A subtle variation of transcripts may come from wobble splicing at the 5Ј splice site GTNGT or the 3Ј splice site NAGNAG sequence, thus creating singleamino-acid insertion and deletion (InDel) isoforms (22, 35).Recently, Hiller et al. (14) and Tadokoro et al. (34) also demonstrated genome-wide distribution of the NAGNAG sequence at the 3Ј splice site in human genes, which results in protein isoforms with one amino acid insertion or deletion. Such wobble splicing is predicted to exist in 30% of human genes and is active in at least 5% of genes, according to an EST database search. Although wobble s...