RAD6 is a ubiquitin E2 protein with roles in a number of different biological processes. Here, using affinity purification coupled with mass spectrometry, we identify a number of new RAD6 binding partners, including the poorly characterized ubiquitin E3 ligases KCMF1 (potassium channel modulatory factor 1) and UBR4 (ubiquitin N-recognin domain-containing E3 ligase 4), a protein that can bind N-end rule substrates, and which was recently linked to lysosome-mediated degradation and autophagy. NMR, combined with in vivo and in vitro interaction mapping, demonstrate that the KCMF1 C terminus binds directly to RAD6, whereas N-terminal domains interact with UBR4 and other intracellular vesicle-and mitochondriaassociated proteins. KCMF1 and RAD6 colocalize at late endosomes and lysosomes, and cells disrupted for KCMF1 or RAD6 function display defects in late endosome vesicle dynamics. Notably, we also find that two different RAD6A point mutants (R7W and R11Q) found in X-linked intellectual disability (XLID) patients specifically lose the interaction with KCMF1 and UBR4, but not with other previously identified RAD6 interactors. We propose that RAD6-KCMF1-UBR4 represents a unique new E2-E3 complex that targets unknown N-end rule substrates for lysosome-mediated degradation, and that disruption of this complex via RAD6A mutations could negatively affect neuronal function in XLID patients. RAD6 is a ubiquitin E2 conjugating protein that plays a number of important roles in eukaryotes, including histone H2B ubiquitylation, postreplication DNA damage repair and degradation of proteins via the N-end rule pathway (1, 2). This wide variety of functions is mediated via interactions with at least five different ubiquitin E3 ligases, which target the multipurpose E2 to a diverse array of substrates.In mammals, RAD6 is encoded by two genes, UBE2A (the protein product of this gene has historically been referred to as RAD6A) and UBE2B (RAD6B). The human UBE2A gene is located on the X chromosome (Xq24) and the UBE2B locus maps to 5q31.1 (3). The human RAD6 proteins share ϳ95% identity at the amino acid level (supplemental Fig. S1), and the two variants appear to play redundant roles in processes such as DNA damage repair (4). Both RAD6A and RAD6B are present in all tissues and cell lines examined (albeit at varying ratios), with highest mRNA levels measured in heart, testis, and brain (5).Previous reports have identified a variety of UBE2A coding sequence mutations in X-linked intellectual disability (XLID) 1 patients (6 -10), and a recent study revealed that human and Drosophila cells deficient for RAD6 function display defects in mitochondrial turnover and vesicle dynamics (6). However, the consequences of the XLID RAD6A mutations at the molecular level have not been well characterized, and the proteins that couple RAD6 to these new functions had not been identified.Here, we used an unbiased AP-MS (affinity purification coupled with mass spectrometry) approach to identify RAD6 interacting partners in human cells. Interestingly, we ...