the presence of autoantibodies (autoAbs) directed against keratinocyte surface antigens, [2] primarily the desmosomal cadherins desmoglein 3 (Dsg3) and Dsg1. [3,4] Binding of these autoAbs leads to desmosome internalization, keratin retraction, cell dissociation, and ultimately blister formation. [5] Several signaling pathways induced by autoAb binding in PV have been identified, including protein kinase C (PKC), [6,7] p38 mitogen-activated protein kinase (MAPK), [8,9] and Rho GTPases family proteins such as RhoA. [10,11] Nevertheless, there remain large gaps in knowledge concerning the precise mechanisms through which autoAb-binding induces blister formation. [12] The bulk of research in PV to date has focused on immune mechanisms upstream of autoAb binding (i.e., antibody specificity, B-cell and T-cell functions). Consequently, therapeutic interventions in PV have mostly relied on nonspecific immunosuppression, which is often accompanied by detrimental longterm side effects. [13] However, the biophysical aspects of the cell behavior after autoAb binding are only recently being explored thanks to the advancement of innovative technologies applied to fundamental biological questions at the cellular level. [14-16] There is already compelling evidence that mechanical stress in adhesive junctions plays a significant role in dictating the fate of cell-cell attachment. [17,18] We posit that mechanical It is becoming increasingly clear that mechanical stress in adhesive junctions plays a significant role in dictating the fate of cell-cell attachment under physiological conditions. Targeted disruption of cell-cell junctions leads to multiple pathological conditions, among them the life-threatening autoimmune blistering disease pemphigus vulgaris (PV). The dissociation of cellcell junctions by autoantibodies is the hallmark of PV, however, the detailed mechanisms that result in tissue destruction remain unclear. Thus far, research and therapy in PV have focused primarily on immune mechanisms upstream of autoantibody binding, while the biophysical aspects of the cellcell dissociation process leading to acantholysis are less well studied. In work aimed at illuminating the cellular consequences of autoantibody attachment, it is reported that externally applied mechanical stress mitigates antibodyinduced monolayer fragmentation and inhibits p38 MAPK phosphorylation activated by anti-Dsg3 antibody. Further, it is demonstrated that mechanical stress applied externally to cell monolayers enhances cell contractility via RhoA activation and promotes the strengthening of cortical actin, which ultimately mitigates antibody-induced cell-cell dissociation. The study elevates understanding of the mechanism of acantholysis in PV and shifts the paradigm of PV disease development from a focus solely on immune pathways to highlight the key role of physical transformations at the target cell.