CCDC38 is a testis-specific coiled-coil protein that functions in sperm flagellum and acrosome biogenesis during spermiogenesis, where it localizes to the manchette and sperm tail (PMID:35587122). It acts as a scaffold within the intraflagellar transport machinery, physically interacting with CCDC42, IFT88, and ODF2, and its loss reduces delivery of ODF2 to the flagellum and produces a distorted manchette, multiple morphological abnormalities of the flagella (MMAF), and male sterility in knockout mice (PMID:35587122). CCDC38 is additionally required for acrosome biogenesis and fibrous sheath assembly; its loss causes acrosomal hypoplasia, loosely anchored acrosomal membrane, disorganized fibrous sheaths, and reduced and mislocalized TEKT3 (PMID:37709195). It further interacts with CCDC146 and lies upstream of or parallel to it in the flagellum biogenesis pathway, since CCDC38 levels are unaffected by Ccdc146 loss (PMID:38038747). An earlier proteomic study placed CCDC38 at the centrosome/sperm centriole (PMID:25074808), and a single report links it to ubiquitinated histone H2A in testes (PMID:27278724); beyond these interactions and the structural-transport role, no further mechanistic detail has been characterized in the available corpus.