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In structures with very slowly growing microtubules, such as centrioles and cilia, long GTP caps cannot form; instead, specialized protein complexes stabilize microtubule plus ends and support their slow elongation. Recent studies showed that although centrioles and cilia use distinct proteins to control their microtubule plus ends, the underlying mechanisms are similar. Both rely on complexes combining microtubule growth inhibitors with polymerases that counteract inhibition, which jointly stabilize the plus ends and drive their gradual extension. Both centriolar and ciliary microtubule tip regulators form assemblies that span inner and outer microtubule surfaces and reduce protofilament peeling. 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