RTTN (Rotatin) is a centriolar protein that governs centriole assembly and elongation and, through this role, controls mitotic fidelity and the polarization of neural stem cells during cortical development (PMID:28811500, PMID:39680576). Recruited to the proximal end of the procentriole in early S phase and residing at the inner luminal walls of centrioles, RTTN directly binds STIL and acts downstream of STIL-mediated centriole assembly; its loss generates amplified primitive procentriole bodies that lack the distal-half centriolar proteins POC5 and POC1B because RTTN functions as an upstream effector of CEP295-mediated loading of these proteins (PMID:28811500). RTTN further forms a complex with PPP1R35, positioning it within a distal centriole elongation pathway in which PPP1R35 acts downstream of RTTN (PMID:30168418). The microcephaly-associated RTTN(A578P) mutant has reduced STIL affinity and blocks centriole assembly, linking the molecular pathway to disease (PMID:28811500). Beyond centriole biogenesis, RTTN is required for correct mitotic spindle positioning, regulating NuMA/p150Glued congression and cortical localization and maintaining astral microtubule number and length (PMID:34207628), and its loss in neural stem cells and cortical organoids causes aneuploidy, cell death, and delayed apico-basal polarization with failed neural rosette self-organization (PMID:39680576). RTTN also localizes to basal bodies of the primary cilium, where it is needed for cilia structure and normal BMP/WNT signaling (PMID:22939636).