Alternative splicing of pre-mRNA contributes significantly to human proteomic complexity, playing a key role in development, gene expression and, when aberrant, human disease onset. Many of the factors involved in alternative splicing have been identified, but little is known about their regulation. Here we report that caffeine regulates alternative splicing of a subset of cancer-associated genes, including the tumor suppressor KLF6. This regulation is at the level of splice site selection, occurs rapidly and reversibly, and is concentration dependent. We have recapitulated caffeine-induced alternative splicing of KLF6 using a cell-based minigene assay and identified a "caffeine response element" within the KLF6 intronic sequence. Significantly, a chimeric minigene splicing assay demonstrated that this caffeine response element is functional in a heterologous context; similar elements exist within close proximity to caffeine-regulated exons of other genes in the subset. Furthermore, the SR splicing factor, SC35, was shown to be required for induction of the alternatively spliced KLF6 transcript. Importantly, SC35 is markedly induced by caffeine, and overexpression of SC35 is sufficient to mimic the effect of caffeine on KLF6 alternative splicing. Taken together, our data implicate SC35 as a key player in caffeine-mediated splicing regulation. This novel effect of caffeine provides a valuable tool for dissecting the regulation of alternative splicing of a large gene subset and may have implications with respect to splice variants associated with disease states.Alternative splicing of pre-mRNA is an essential process by which eukaryotes generate functionally diverse isoforms from a single gene through the selective joining of different exons. This process responds to developmental and environmental cues, contributing substantially to cell-specific and tissue-specific gene expression; it is estimated that over 60% of human genes are alternatively spliced (36). Given the pervasive and profound involvement of alternative splicing in multiple cellular processes, it is clear that the choice of splice site can have major phenotypic consequences, and defects in the splicing pathway are associated with a variety of disease states. Indeed, as many as 50% of human genetic diseases arise from mutations affecting splicing choices (32). For example, it has recently been demonstrated that many cancer-associated genes are regulated by alternative splicing and that a number of splice variants appear to be unique to the malignant state (53, 57). Whether these splice variants play a role in carcinogenesis or tumor maintenance remains to be determined, but their consistent association with the malignant state suggests, at the very least, a clear value as diagnostic indicators and a potential as therapeutic targets (8,22). Therefore, a better understanding of the etiology of these cancer splice variants has become an imperative.Decades of elegant studies have defined the basic splicing mechanism, which requires the interaction of spl...