also reflect stem cell fate. [3-6] Stem cells adhere to the extracellular matrix and thereby respond to the external environment, including topography and mechanical properties. [7-9] Stem cells regulate cell fate by interacting with their specific external micro environment, also called a stem cell niche. Stem cell niches are generally comprised of biochemical and physical components. [10] As a physical cue, surface topography has been investigated to understand the interactions between cells and their surrounding environments and its effects on cell function and behavior. [11-15] Due to the scale of the structures mimicking extracellular environments, nanotopography has significant potential for determining cellular responses induced by topographical effects, such as cell adhesion, [16] selfrenewal, [17] and differentiation. [18-20] Surface topography influences cellular responses, including morphological changes of ASCs. Typical substrates such as ridge/groove, pillar/rod type, and porous surface may mimic the niche and reveal their correlation and control cellular responses; however, their direct relationship still remains unclear. [21-24] The ridge-groove structure has been widely used owing to its topographical alignment, which is crucial in determining the stem cell fate for specific cell lineages. [25] However, anisotropic topography is not suitable for universal studies on the effects of topography on cellular responses. The pillar structure referred to in the present study may help to better understand the correlation between topography and cellular responses as topographic arrangement can be altered from isotropy to anisotropy by changing pillar arrays. [26-28] Using pillar structures, the quantitative effect of topography can be measured by varying the pillar size. Proper designing of surface topography can modulate cellular responses. [29] The size of the topography is also an important factor affecting cell morphology and stem cell fate. [22,30] Compared to adherent cells on the planar surface, confined adhesive areas on the top surface of the nanopillar array decrease cell spreading. [31,32] Moreover, cell spreading is inhibited when the diameters of the pillar array reduce considerably in size. [23] Focal adhesion (FA) has been discussed as a key to understanding the role of topography for cellular responses. [7,33] FA Nanotopography mimicking extracellular environments reportedly impact cell morphological changes; however, elucidating this relationship has been challenging. To control cellular responses using nanostructures, in this study, the quantitative relationship between nanotopography and cell spreading mediated by focal adhesions (FAs) is demonstrated using adipose-derived stem cells (ASCs). The spreading of ASCs and area of FAs are analyzed for the distribution of filamentous actin and vinculin, respectively, using fluorescent images. FAs require a specific area for adhesion (herein defined as effective contact area [ECA]) to maintain cell attachment on nanopillar arrays. An ECA is the a...