ARL2BP is a ciliary effector protein that links the small GTPase ARL2 to the structural integrity of microtubule-based cilia and flagella (PMID:23849777, PMID:29718757). It acts as a selective effector of ARL2 rather than ARL3: depletion of ARL2, but not ARL3, displaces ARL2BP from the basal body, establishing that ARL2 recruits or anchors ARL2BP at the base of the cilium, while the disease-associated p.Met45Arg substitution reduces ARL2 binding and abolishes basal-body localization (PMID:23849777). At the photoreceptor basal body and cilium-associated centriole, ARL2BP is required for ciliary doublet microtubule formation and axoneme elongation; its loss produces shortened axonemes, open B-tubule doublets, loss of singlet microtubules, and disorganized outer segments with impaired visual response (PMID:23849777, PMID:29718757). The same activity supports structural maintenance of the sperm flagellum, where loss causes mis-assembled tails and loss of axonemal doublets, and underlies broader ciliopathy phenotypes including situs inversus (PMID:31425546). Through these roles ARL2BP loss of function causes retinitis pigmentosa, situs inversus, and male infertility (PMID:23849777, PMID:29718757, PMID:31425546).