It is well established that exonic sequences contain regulatory elements of splicing that overlap with coding capacity. However, the conflict between ensuring splicing efficiency and preserving the coding capacity for an optimal protein during evolution has not been specifically analyzed. In fact, studies on genomic variability in fields as diverse as clinical genetics and molecular evolution mainly focus on the effect of mutations on protein function. Synonymous variations, in particular, are assumed to be functionally neutral both in clinical diagnosis and when measuring evolutionary distances between species. Using the cystic fibrosis transmembrane conductance regulator (CFTR) exon 12 splicing as a model, we have established that about one quarter of synonymous variations result in exon skipping and, hence, in an inactive CFTR protein. Furthermore, comparative splicing evaluation of mammalian sequence divergences showed that artificial combinations of CFTR exon 12 synonymous and nonsynonymous substitutions are incompatible with normal RNA processing. In particular, the combination of the mouse synonymous with the human missense variations causes exon skipping. It follows that there are two sequential levels at which evolutionary selection of genomic variants take place: splicing control and protein function optimization.composite exonic regulatory elements of splicing ͉ exonic splicing regulatory sequences ͉ molecular evolution ͉ synonymous variations S ince the first original observations that nucleotide changes in the coding regions can affect normal and alternative cellular pre-mRNA processing (1, 2), extensive evidence has accumulated that exonic variants may affect pre-mRNA splicing (3-6). Mutations within exons are responsible of aberrant splicing profiles of pre-mRNA in several human disease genes, including ataxia telangiectasia mutated (ATM) (7), SMN2 (8-10), BRCA1 (11), neurofibromin 1 (NF-1) (12), cystic fibrosis transmembrane regulator (CFTR) (13-15) genes and in some viral systems such as HIV-1 (16). Nonsense, missense, and even synonymous mutations can induce aberrant skipping of the mutant exon producing nonfunctional proteins. Because direct analysis of mRNA is not routinely performed in the diagnostic field, it is possible that a high amount of exonic mutations may unexpectedly affect splicing, as reported in ATM (7), CFTR (13-15), and NF-1 (12) genes.In the pre-mRNA of higher eukaryotes, the correct identification of exonic sequences from the larger introns requires conserved discrete sequence elements located at the 5Ј and 3Ј splice sites and the branch point. In addition, exonic splicing elements that interact with several classes of positive and negative trans-acting splicing regulatory factors contribute significantly to constitutive and alternative splicing regulation (3, 17). The sequence composition of exonic splicing regulatory sequences is highly degenerated (3,(18)(19)(20)(21), and their effect on splicing may be significantly affected by the context (13,14) and͞or depend on the fo...