Complex functional coupling exists between transcriptional elongation and pre-mRNA alternative splicing. Pausing sites and changes in the rate of transcription by RNA polymerase II (RNAPII) may therefore have fundamental impacts in the regulation of alternative splicing. Here, we show that the elongation and splicing-related factor TCERG1 regulates alternative splicing of the apoptosis gene Bcl-x in a promoter-dependent manner. TCERG1 promotes the splicing of the short isoform of Bcl-x (Bcl-x s ) through the SB1 regulatory element located in the first half of exon 2. Consistent with these results, we show that TCERG1 associates with the Bcl-x pre-mRNA. A transcription profile analysis revealed that the RNA sequences required for the effect of TCERG1 on Bcl-x alternative splicing coincide with a putative polymerase pause site. Furthermore, TCERG1 modifies the impact of a slow polymerase on Bcl-x alternative splicing. In support of a role for an elongation mechanism in the transcriptional control of Bcl-x alternative splicing, we found that TCERG1 modifies the amount of pre-mRNAs generated at distal regions of the endogenous Bcl-x. Most importantly, TCERG1 affects the rate of RNAPII transcription of endogenous human Bcl-x. We propose that TCERG1 modulates the elongation rate of RNAPII to relieve pausing, thereby activating the proapoptotic Bcl-x S 5= splice site.T he expression of protein-coding genes in eukaryotes is a highly orchestrated process that involves multiple coordinated events. Genomic DNA must be transcribed into precursor mRNAs (pre-mRNA) by RNA polymerase II (RNAPII) and processed through subsequent steps to yield a mature mRNA that is exported from the nucleus to the cytoplasm and used by the translational machinery. The pre-mRNA undergoes several processing steps, including capping, splicing, and cleavage/polyadenylation, which appear to be precisely coordinated with nascent transcript formation (41,44,49). Of these RNA processing mechanisms, alternative splicing occurs as a widespread means to achieve proteomic diversity. Results of deep sequencing-based expression analyses estimate that more than 90% of multiexon human genes undergo alternative splicing (50, 66). The misregulation of alternative splicing underlies multiple diseases, including neurological disorders and cancer (5,19,32,67).Although transcription and alternative splicing can occur independently, both processes are physically and functionally interconnected (44, 49), and this coupling and coordination may be important for the regulation of gene expression. To date, two models have been proposed to explain the link between transcription and splicing. In the recruitment model, the unique carboxylterminal domain (CTD) of RNAPII functions as a "landing pad" for factors involved in pre-mRNA splicing in a manner that is dependent on the phosphorylation of RNAPII and the resulting functional state of the transcriptional complex (4,7,28,38,40,42,43,71). In the kinetic model, an alternative but not exclusive model, the transcript elongation...