LRRC46 is a leucine-rich repeat protein with two experimentally established roles: it is essential for sperm flagellum biogenesis and it promotes collagen synthesis in connective and reproductive tissues (PMID:35955660, PMID:38874710). In the male germ line, LRRC46 localizes throughout the sperm flagellum with concentration at the midpiece, and its loss in mice produces multiple morphological abnormalities of the flagella (MMAF) — short, coiled, irregular flagella with axonemal and mitochondrial sheath defects, reduced sperm counts, impaired motility, and complete male infertility (PMID:35955660). Its correct positioning within the flagellum depends on CCDC181, which physically interacts with LRRC46 and acts upstream of it, since loss of CCDC181 mislocalizes LRRC46 and phenocopies MMAF (PMID:39245650). Independently, LRRC46 supports extracellular matrix output: a loss-of-function mutation reduces LRRC46 protein in human corneal epithelial cells, and knockout mice display a myopia phenotype with corneal and scleral thinning and downregulated collagen synthesis, with LRRC46 specifically required for collagen VIII (Col8a1) formation (PMID:38874710). In bovine granulosa cells, LRRC46 drives proliferation, steroidogenesis, and anti-apoptotic responses by upregulating COL8A1, which promotes EGFR phosphorylation and activates PI3K/AKT signaling, an effect abolished by EGFR inhibition (PMID:42224836). How the same protein links flagellar structural assembly to collagen biogenesis at the molecular level has not been characterized in the available corpus.