The polycystin-1 (PC1), polycystin-2 (PC2) and fibrocystin proteins, the respective products of the PKD1, PKD2 and PKHD1 genes, are abundant in urinary exosome-like vesicles (ELVs) where they form the polycystin complex (PCC). ELVs are 100 nm diameter membrane vesicles shed into the urine by the cells lining the nephron. Using MS/MS analysis of eLVs from individuals with PKD1 mutations and controls, we show that in addition to the well-described GPS/GAIN cleavage event in PC1 at 3048 aa and the proprotein convertase cleavage (PPC) event in fibrocystin at 3616 aa, there are multiple other cleavage events in these proteins. The C-terminal 11 transmembrane portion of PC1 undergoes three cleavage events in vivo. The absence of peptides from the C-terminal cytoplasmic tail of fibrocystin implies a cleavage event close to its single tM domain prior to loading onto the eLVs. there is also evidence that the C-terminal tail of PC2 is also cleaved in ELVs. Native gel analysis of the PCC shows that the entire complex is > 2 MDa in size and that N-terminal GPS/GAIN cleaved PC1 and PPC cleaved fibrocystin ectodomains can be released under non-reducing conditions and resolve at 300 kDa. This paper shows that the three major human cystogene proteins are detectable in human urinary ELVs and that all three undergo post-translational proteolytic processing. Human urinary ELVs may be a useful source of material in the search for proteins that interact with the pcc.Autosomal dominant polycystic kidney disease (ADPKD) has a prevalence of between 1:400 and 1:1000 individuals 1 . The most likely prevalence is 1:800, implying that there are 390,000 individuals living with ADPKD in the USA of which 30,000 require renal replacement therapy, at a yearly cost of $80,000 per patient and a minimum economic burden of $2.4 billion. Among affected individuals, 85% of the mutations found by conventional Sanger sequencing are in the PKD1 gene and 15% in the PKD2 gene. About 9-10% of individuals with clinical ADPKD have no mutation detected (NMD) for either gene. Some of these may have changes in the Glucosidase IIα subunit (GANAB) 2 or in yet to be identified PKD gene(s) 3 [pkdb.mayo.edu]. Mutations in PKD1 and PKD2 have a similar clinical phenotype characterized by the slow development of multiple fluid-filled kidney cysts, leading to end stage renal failure at an average age of 54yrs in PKD1 and 74yrs in PKD2 4 . The products of these genes, polycystin-1 (PC1) [P98161 PKD1_HUMAN], polycystin-2 (PC2) [Q13563 PKD2_HUMAN] and fibrocystin [P08F94 PKHD1_HUMAN] are large membrane spanning proteins with lengths of 4302, 968 and 4074 aa, respectively (see Fig. 1a for the overall domain structure). These proteins have all been shown to be present in the urine in 100 nm diameter membrane-bound vesicles, i.e. exosome-like vesicles (ELVs) 5 . Yeast two hybrid screening together with directed over-expression work in cell lines determined that PC2 could interact with both PC1 and fibrocystin 6-8 . Furthermore, mouse breeding experiments showed that heterozygo...