Cells are at any moment exposed to mechanical cues, for the simple fact that they are embedded in tissues imposing defined geometrical and architectural constraints or, in vitro, cultured on 2D surfaces (or 3D matrices) dictating cell shape. The importance of these signals has long been appreciated but, until recently, how physical inputs affect gene expression and thus cell fate remained enigmatic. Understanding the molecular mechanisms that link mechanical cues to cell fate has important implications for our understanding of embryonic development, regeneration and adult tissue homeostasis. The corruption of this pathway in disease is thought to fuel tumour growth and progression as well as vascular remodelling in the context of arteriosclerosis. Uncovering the molecular players of the mechanotransduction pathway might allow us to develop new pharmacological strategies to interfere with disease development and progression.