IntroductionProtein 4.1R (4.1R) is a vital component of the red blood cell membrane cytoskeleton. The 4.1R stabilizes the spectrin-actin lattice while attaching to the embedded membrane proteins band 3 and glycophorin. The 80-kDa erythrocyte form is the prototype of a complex array of 4.1R isoforms whose expression is regulated by coupled transcription and splicing, 1 utilization of alternative translation initiation sites, 2,3 alternative pre-mRNA splicing, 4,5 and posttranslational modification. 6 The expression of the 80-kDa erythrocyte form during erythropoiesis is tightly regulated through 2 splicing events in a differentiation stage-specific manner. 7,8 At an early stage, before erythroid colony-forming units (CFU-Es), suppression of exon 2Ј inclusion causes the omission of an upstream translation start site used for the synthesis of "nonerythroid" 135-kDa forms. In erythroblasts, a later event is the induction of the inclusion of exon 16, which encodes a critical portion of the spectrin/actin binding (SAB) domain required to promote cytoskeletal junctional complex stability. 9,10 Correct gene expression requires accurate and efficient removal of introns from pre-mRNAs. In addition to the information contained in canonical splice signals (5Ј splice site, branch site, and 3Ј splice site), precise exon definition requires additional regulatory cis elements present in the exon and its flanking introns. 11 These elements become particularly important in the presence of weak splice sites or in alternative splicing. 12,13 Exonic splicing enhancers (ESEs) and exonic splicing silencers (ESSs), which are ubiquitous in both constitutively and alternatively spliced exons, account for some of these signals. 14,15 ESEs act as binding sites for serine/ arginine-rich (SR) proteins, a family of highly conserved and structurally similar splicing factors that act at multiple steps of the pre-mRNA splicing pathway. 16 SR proteins bind to ESEs through their RNA binding domain and promote splicing by recruiting spliceosomal components via protein-protein interactions mediated by the arginine serine-rich (RS) domain. 17,18 ESSs, on the other hand, function as binding sites for repressor proteins. 14,19,20 The members of the heterogeneous nuclear ribonucleoprotein (hnRNP) are often involved in negative regulation by binding to ESSs. 14,21,22 A number of test cases have shown that SR proteins and hnRNPA1 antagonistically affect 5Ј splice site recognition and that subtle changes in the relative concentrations of these 2 factors can determine 5Ј splice site recognition. 23,24 The balance between positive and negative regulation of splice site selection likely depends on the cis element's identity and on changes in cellular splicing factors under physiologic or pathologic conditions. 25,26 Splicing of 4.1R exon 16 is highly regulated in a differentiation stage-specific manner during erythroid differentiation; exon 16 is omitted from much of the 4.1R mRNA of pre-erythroid cells but is included in most of the mRNA produced in late ery...