“…In fact, studies carried out with various types of cultured cells have confirmed that changes in the balance of mechanical forces between cells and the ECM control all of the key cell behaviors that are responsible for tissue development. For example, cells make entirely different fate decisions, such as whether to grow, differentiate or die (i.e., undergo programmed cell death or "apoptosis"), depending on the adhesivity or mechanical compliance of their ECM substrate and thus, the degree to which they physically extend (Folkman and Moscona, 1978, Ben-Ze'ev et al, 1980, Glowacki et al, 1983, Li et al, 1987, Ben-Ze'ev et al, 1988, Ingber and Folkman, 1989, Opas, 1989, Ingber, 1990, Mooney et al, 1992, Singhvi et al, 1994, Dike et al, 1999, Niland et al, 2001. This can be accomplished by varying the density of immobilized ECM molecules on otherwise non-adhesive dishes; changing the flexibility of ECM gels; or creating planar ECM islands with defined size and shape on the micrometer scale using microfabrication techniques (Fig.…”