Actin cytoskeleton assembly and organization are modulated by reactive oxygen species and the cellular redox environment. Focal adhesions link the cytoskeleton to the extracellular matrix and play an important role in growth and migration of vascular smooth muscle cells. We have previously shown that NADPH oxidase Nox4, a H2O2-producing enzyme, and its binding partner, polymerase delta interacting protein 2 (Poldip2), regulate turnover of focal adhesions. Downstream targets of Nox4 include Hic-5 and Hsp27, as well as the small GTPase, Rho A. Activation of Smad signaling by TGFp, which is known to strengthen focal adhesions, is Nox4-dependent, as is upregulation of Hsp27 and Hic-5 by TGFp. Similarly, overexpression of Poldip2 activates RhoA to prevent focal adhesion dissolution, while dominant-negative RhoA reverses the effects of Nox4/Poldip2 on focal adhesions. More recently, we discovered that H2O2 levels increase during integrin-mediated cell attachment due to activation of NOX4. Attachment induces F-actin oxidation by sulfenylation, and depletion of Poldip2 or NOX4 using siRNA, or scavenging of endogenous H2O2 with catalase, inhibits adhesion-induced F-actin oxidation. Of importance, the binding of F-actin to vinculin, a protein present in focal adhesion complexes that regulates focal adhesion maturation, is inhibited after transfection of an oxidation-resistant actin mutant. Silencing of Poldip2 or NOX4 also impairs actin-vinculin interaction. Taken together, our work has identified a major role for Poldip2/Nox4 in cytoskeletal organization, focal adhesion turnover and smooth muscle cell migration.