Exosomes, derived from multivesicular bodies (MVBs), contain proteins and genetic materials from their cell of origin and are secreted from various cells types, including kidney epithelial cells. In general, it is thought that protein cargo is ubiquitylated but that ubiquitin is cleaved by specific deubiquitylases during the process of cargo incorporation into MVBs. Here, we provide direct evidence that, in vivo, deubiquitylation is not essential. Ubiquitin was detected within human MVBs and urinary exosomes by electron microscopy. Of the >6000 proteins identified in human urinary exosomes was mass spectrometry, 15% were ubiquitylated with various topologies (Lys63>Lys48> Lys11>Lys6>Lys29>Lys33>Lys27). A significant preference for basic amino acids upstream of ubiquitylation sites suggests specific ubiquitylation motifs. The current studies demonstrate that, in vivo, deubiquitylation of proteins is not necessary for their incorporation into MVBs and highlight that urinary exosomes are an enriched source for studying ubiquitin modifications in physiological or disease states. Exosomes are extracellular nanovesicles (20 -100 nm) that are secreted from various cells types in the body (1). In the urinary system, exosomes are secreted from epithelial cells from all segments of the kidney tubule and urinary tract (2). Urinary exosomes contain proteins and genetic materials e.g. mRNA and miRNA, from their cell of origin that may represent physiology or pathophysiology of a variety of renal and systemic diseases (3).In general, exosomes originate in late endosomal compartments called multivesicular bodies (MVBs). An essential posttranslational modification that marks membrane proteins for incorporation into MVBs is ubiquitylation (4). Ubiquitin is a small 76 amino acid protein that requires reversible enzymatic activity of E1, an activation enzyme; E2, a conjugation enzyme; and E3, a ligation enzyme, for binding to a specific substrate. Ubiquitin acts as a signal for mediating a range of cellular functions, including protein trafficking, DNA repair, endocytosis, proteasomal and lysosomal degradation, and transcriptional regulation. The role of ubiquitin in various cellular functions can be directly related to the type of ubiquitin modifications on a specific substrate, such as monoubiquitylation, multimonoubiquitylation, and polyubiquitylation (5). Various topologies of polyubiquitin chains also play different roles in biology. For example, Lys48-linked chains can target proteins for proteasomal degradation, whereas Lys63-linked chains can target proteins for lysosomal degradation, aid in DNA repair, or play a role in transcriptional regulation (5).During the process of protein trafficking, ubiquitylated membrane protein cargo can be recognized by the endosomal-sorting complex required for transport (ESCRT) apparatus on the outer surface of MVBs. Through a cascade of protein interactions, internal luminal vesicles (ILVs) are formed inside the MVB that can be released into the extracellular environment as exosomes upon t...