The cytoskeletal protein vinculin is a major regulator of cell adhesion and attaches to the cell surface by binding to specific phospholipids. Structural, biochemical, and biological studies provided much insight into how vinculin binds to membranes, what components it recognizes, and how lipid binding is regulated. Here we discuss the roles and mechanisms of phospholipids in regulating the structure and function of vinculin and of its muscle-specific metavinculin splice variant. A full appreciation of these processes is necessary for understanding how vinculin regulates cell motility, migration, and wound healing, and for understanding of its role in cancer and cardiovascular diseases.Inositol phospholipids are crucial regulators of cell physiology, and their head group interactions play fundamental roles in controlling membrane/cytosol interfaces. In addition to signal transduction at the cell surface, these lipids regulate a range of cellular processes including membrane trafficking, polarity, nuclear events, the permeability and transport functions of membranes, and cytoskeletal organization. Phosphoinositides are spatially and temporally regulated at sites of actin assembly andcytoskeletonremodeling.Phosphatidylinositol4,5-bisphosphate (PIP 2 ) 2 is a precursor of the second messengers diacylglycerol, inositol 3,4,5-trisphosphate, and phosphatidyl 3,4,5-trisphosphate and is crucial in the organization of the actin cytoskeleton at the plasma membrane (1). PIP 2 participates in the recruitment and activation of a wide variety of adaptor proteins and actin regulatory proteins. During the assembly of focal adhesions (FAs), the cytoskeletal protein talin recruits an isoform of phosphatidylinositol 4-phosphate 5-kinase (PIP 5 K␥90) that catalyzes the phosphorylation of phosphatidyl 4-phosphate to generate a local enrichment of PIP 2 (2-4). This localized pool of PIP 2 is critical for the subsequent recruitment of FA proteins and maturation of the FAs (5, 6). Vinculin is an early and essential component of nascent cell-matrix adhesion and acts as a scaffold by binding to several actin-organizing proteins. In mature FAs, vinculin is a key component of the "molecular clutch" that mediates the transmission of force from cytoplasmic F-actin to membrane-bound integrins (7-9). Cytosolic vinculin mainly adopts a closed conformation that is kept inactive through extensive hydrophobic interactions of its globular 91-kDa head (VH, residues 1-840) that harbors binding sites for talin, ␣-actinin, or ␣-catenin to VH (10 -13) and its 21-kDa tail (Vt, residues 879 -1066) domains (14, 15), which are connected via a proline-rich linker (Fig. 1, A and B). The intramolecular VH-Vt interaction masks the binding sites of F-actin (16, 17), PIP 2 (18), and raver1 (19,20) to Vt. Cytoplasmic vinculin must be recruited to FAs and activated to expose ligandbinding sites through a complex process that is not completely understood (21).Vinculin is essential during development due to its role in regulating adhesion and motility, as well as cel...