CCDC28B is a pericentriolar coiled-coil protein that functions in ciliogenesis and acts as a second-site modifier of Bardet-Biedl syndrome, where heterozygous loss-of-function alleles epistatically enhance BBS phenotypes in vivo (PMID:16327777). It physically associates and colocalizes with BBS proteins at the pericentriole, and its depletion in cultured cells and zebrafish produces defective ciliogenesis with hallmark ciliopathy readouts including hydrocephalus, left-right axis defects, and renal impairment (PMID:16327777, PMID:23015189). CCDC28B controls cilia length through several interactions: it binds SIN1 and positively regulates mTORC2 assembly and activity without affecting mTORC1, with SIN1 itself contributing to cilia length in a manner independent of mTOR signaling (PMID:23727834); and it binds the kinesin 1 motor components KLC1 and KIF5B, which restrict CCDC28B nuclear accumulation, such that a CCDC28B mutant lacking its nuclear localization motif fails to rescue the zebrafish ciliopathy phenotype (PMID:29445114). Beyond cilia, in T cells CCDC28B promotes immune synapse assembly by recruiting the actin regulator WASH to retromer at early endosomes via FAM21, driving actin polymerization and polarized TCR recycling; a CVID-associated R25W variant fails to bind FAM21 and impairs this recycling (PMID:34294890). CRISPR knockout mice show only mild tissue-specific cilia defects without retinal degeneration or obesity but display social interaction defects and stereotypical behaviors (PMID:35653384).