In addition to the tumor suppressor p53 protein, also termed p53a, the TP53 gene produces p53b and p53c through alternative splicing of exons 9b and 9c located within TP53 intron 9. Here we report that both TG003, a specific inhibitor of Cdc2-like kinases (Clk) that regulates the alternative splicing pre-mRNA pathway, and knockdown of SFRS1 increase expression of endogenous p53b and p53c at mRNA and protein levels. Development of a TP53 intron 9 minigene shows that TG003 treatment and knockdown of SFRS1 promote inclusion of TP53 exons 9b/9c. In a series of 85 primary breast tumors, a significant association was observed between expression of SFRS1 and a variant, supporting our experimental data. Using siRNA specifically targeting exons 9b/9c, we demonstrate that cell growth can be driven by modulating p53b and p53c expression in an opposite manner, depending on the cellular context. In MCF7 cells, p53b and p53c promote apoptosis, thus inhibiting cell growth. By transient transfection, we show that p53b enhanced p53a transcriptional activity on the p21 and Bax promoters, while p53c increased p53a transcriptional activity on the Bax promoter only. Moreover, p53b and p53c co-immunoprecipitate with p53a only in the presence of p53-responsive promoter. Interestingly, although p53b and p53c promote apoptosis in MCF7 cells, p53b and p53c maintain cell growth in response to TG003 in a p53a-dependent manner. The dual activities of p53b and p53c isoforms observed in non-treated and TG003-treated cells may result from the impact of TG003 on both expression and activities of p53 isoforms. Overall, our data suggest that p53b and p53c regulate cellular response to modulation of alternative splicing pre-mRNA pathway by a small drug inhibitor. The development of novel drugs targeting alternative splicing process could be used as a novel therapeutic approach in human cancers. including C-terminal isoforms produced by alternative splicing of intron 9 3 (Figure 1a). Exclusion of the entire intron 9 generates the canonical full-length p53 protein (or p53a), a transcription factor activated in response to diverse intracellular and extracellular signals (Figure 1b). Hence, p53 regulates gene expression to modulate cell-fate outcome by regulating biological processes, including apoptosis and cell cycle progression.5 Inclusion of alternative exons 9b and 9g contained in intron 9 gives rise to p53b and p53g protein isoforms that present new residues in place of the usual oligomerization domain present in p53a. Early studies reported that p53b and p53g retain characteristics of a tumor suppressor. 4 Indeed, p53b modulates p53a transcriptional activity in a promoter-dependent manner in response to stress 3 and promotes apoptosis and senescence, indicating that p53b can modulate p53a suppressive activity. 3,6 The biological significance of p53b and p53g isoforms is emphasized by clinical data. Both p53b and p53g expression is lost in B60% of breast cancer tumors.3,7 Furthermore, breast cancer patients expressing both mutant p53 and p53g ha...