Adhering cells actively probe the mechanical properties of their environment and use the resulting information to position and orient themselves. We show that a large body of experimental observations can be consistently explained from one unifying principle, namely that cells strengthen contacts and cytoskeleton in the direction of large effective stiffness. Using linear elasticity theory to model the extracellular environment, we calculate optimal cell organization for several situations of interest and find excellent agreement with experiments for fibroblasts, both on elastic substrates and in collagen gels: cells orient in the direction of external tensile strain; they orient parallel and normal to free and clamped surfaces, respectively; and they interact elastically to form strings. Our method can be applied for rational design of tissue equivalents. Moreover, our results indicate that the concept of contact guidance has to be reevaluated. We also suggest that cell-matrix contacts are up-regulated by large effective stiffness in the environment because, in this way, build-up of force is more efficient.T he mechanical activity of adherent cells usually is attributed to their physiological function. For example, fibroblasts are believed to maintain the structural integrity of connective tissue and to participate in wound healing by actively pulling on their environment. During recent years, it has become clear that there is another important role for mechanical activity of adherent cells: by pulling on their environment, cells can actively sense its mechanical properties and react to it in a specific way (1-3). Harris et al. (4) observed surprisingly large tension fields for fibroblasts on elastic substrates, which induce mechanical activity of other cells, even when located at considerable distance. When plated on elastic substrates of increased rigidity, many cell types show increased spreading and better developed stress fibers and focal adhesions (5). Fibroblasts on elastic substrates orient in the direction of tensile strain (6) and locomote in favor of regions of larger rigidity or tensile strain (7). The same response has been reported for vascular smooth muscle cells on rigidity gradients (8). Similar observations have been reported numerous times also for tissue cells in hydrogels. For fibroblasts in collagen gels, Bell et al. (9) not only found that traction considerably contracts the gel, but also reported orientational effects: cells align along the direction of pull between fixed points and parallel to free surfaces. When a collagen gel is stretched uniaxially, cells orient in the direction of principal strain (10). Moreover, cells align in a nose-to-tail configuration, thus forming strings running in parallel to the direction of external strain. If a collagen gel is cut perpendicular to the direction of tensile strain and if cells are present in sufficient numbers, they round up and reorient parallel to the free surface introduced (11).The response of adherent animal cells to mechanical input ...