CEP128 is a subdistal appendage (SDA) protein of the mother centriole that organizes appendage architecture and links the centriole to ciliary signaling (PMID:29514088, PMID:30623524). It associates with ODF2 and acts downstream of it in the hierarchical assembly of the SDA: loss of CEP128 dissociates downstream SDA components (centriolin, Ndel1, ninein, and CEP170) from the centriole while ODF2 and distal appendage components remain, and it is required for centriolar microtubule stability (PMID:30623524). At the primary cilium, CEP128 supports TGF-β/BMP signaling by maintaining ciliary localization of RAB11 and the phosphorylation of proteins controlling cilium-associated vesicle trafficking (PMID:29514088). In the testis, CEP128 has a tissue-specific ciliogenesis role required for sperm flagella formation and spermatogenesis, mediated in part through regulation of spermatogenesis gene expression and TGF-β/BMP pathway phosphorylation, with loss causing defective flagella, reduced sperm count, impaired motility, and male infertility (PMID:35296684).