The extensive alternative splicing in higher eukaryotes has initiated a debate whether alternative mRNA isoforms are generated by an inaccurate spliceosome or are the consequence of highly degenerate splice sites within the human genome. Here, we established a quantitative assay to evaluate the accuracy of splicesite pairing by determining the number of incorrect exon-skipping events made from constitutively spliced pre-mRNA transcripts. We demonstrate that the spliceosome pairs exons with an astonishingly high degree of accuracy that may be limited by the quality of pre-mRNAs generated by RNA pol II. The error rate of exon pairing is increased by the effects of the neurodegenerative disorder spinal muscular atrophy because of reduced levels of Survival of Motor Neuron, a master assembler of spliceosomal components. We conclude that all multi-intron-containing genes are alternatively spliced and that the reduction of SMN results in a general splicing defect that is mediated through alterations in the fidelity of splice-site pairing.pre-mRNA splicing ͉ spinal muscular atrophy ͉ splice-site pairing ͉ splicing fidelity ͉ survival of motor neuron A critical step in pre-mRNA splicing is the recognition and correct pairing of 5Ј and 3Ј splice sites. Given the complexity of higher eukaryotic genes and the relatively low level of splice-site conservation (1), the precision of the splicing machinery in choosing and pairing splice sites is impressive. Introns ranging in size from less than 100 up to 10 5 bases are removed efficiently. At the same time, a large number of alternative splicing events accompany the processing of pre-mRNAs (2, 3). In addition, minor perturbations, such as single base mutations, can frequently lead to aberrant splicing (4), predominantly exon skipping and alternative splice-site activation (2, 3). Although the correct sequence context is imperative for splice-site selection, a number of splicing factors have also been implicated in maintaining splicing accuracy, including core components of the spliceosome, as well as Isy1, Prp8p, Slu7p, and Sky1p (5-8).More recent studies have shown that Prp16 and Prp22p act as ATP-dependent proofreading factors for the first and second step of splicing, respectively (8, 9). However, even with proofreading steps at the catalytic core, many alternative mRNA isoforms are generated through alternative splice-site pairing. The sheer number of alternative mRNA isoforms has triggered an ongoing debate as to whether the majority of these transcripts are generated by mistake or with a biological purpose (10). As of today, biological functions for mRNA isoforms have been demonstrated in a large number of the cases studied (11,12). Yet, it is possible that a significant number of the mRNA isoforms that survive quality-control steps, such as nonsensemediated decay (NMD) (13), nonstop decay (NSD) (14), or no-go decay (NGD) (15), are ultimately translated without an obvious biological function.These considerations raise the question whether the apparent promiscuity of the ...