Two mRNAs generated as a consequence of alternative RNA processing events in expression of the human calcitonin gene encode the protein precursors of either calcitonin or calcitonin gene-related peptide (CGRP). Both calcitonin and CGRP RNAs and their encoded peptide products are expressed in the human pituitary and in medullary thyroid tumors. On the basis of sequence comparison, it is suggested that both the calcitonin and CGRP exons arose from a common primordial sequence, suggesting that duplication and rearrangement events are responsible for the generation of this complex transcription unit.We have documented that the rat calcitonin gene can generate two mRNAs encoding discrete polypeptide products as a result of tissue-specific alternative RNA processing (1)(2)(3)(4). The products of these RNAs are the precursors to the calcium-regulating hormone, calcitonin, and to two other peptides in the thyroidal "C" cell and are the precursors to a novel neuropeptide and hormone referred to as CGRP (calcitonin gene-related peptide) and two other peptides. Histochemical analysis with antisera against a synthetic CGRP fragment and nuclease S1 mapping have demonstrated CGRP expression and localization in the brain and other tissues (4). On the basis of its anatomical distribution and initial physiological studies with chemically synthesized peptide, CGRP is suggested to exert regulatory effects on nociception, ingestive behavior, and cardiovascular homeostasis (4, 5). In addition to its localization in neural tissue, CGRP also is produced in the endocrine system (including thyroid "C" cells, adrenal chromaffin cells, and bronchiolar cells) and is distributed widely in sensory nerves and in nerves supplying vasculature in many other organs (e.g., skin, genitourinary system). The molecular basis for the alternative RNA processing appears to be selective utilization of calcitonin-or CGRP-specific poly(A) sites present in the transcription unit associated with different patterns of exon splicing and ligation reactions (6). Similar RNA processing events appear to operate in expression of other eukaryotic genes (e.g., refs. 7-13) and in a number of animal DNA viruses (14-17). Alternative patterns of RNA splicing in association with the use of a single poly(A) site are also observed in expression of a number of genes, including the rat calcitonin/CGRP gene (6,(18)(19)(20)(21)(22).In this manuscript we report that the human calcitonin/CGRP gene can generate two mRNAs encoding the precursors of calcitonin and CGRP as a result of alternative RNA processing events, documenting the operation of this type of post-transcriptional regulation in the human neuroendocrine system. The structure of the human CGRP precursor predicts the excision of a 37-amino acid peptide differing in 4 amino acids from the primary sequence of rat CGRP. The predicted peptide is identical with the structure of a peptide from human medullary thyroid tumors in novel fast-atom-bombardment mass spectometry (23). Both RNA and peptide products of the human...