Enabling long-range transport of molecules, tubules are critical for human body homeostasis. One fundamental question in tubule formation is how individual cells coordinate their positioning over long spatial scales, which can be as long as the sizes of tubular organs. Recent studies indicate that type I collagen (COL) is important in the development of epithelial tubules. Nevertheless, how cell-COL interactions contribute to the initiation or the maintenance of long-scale tubular patterns is unclear. Using a two-step process to quantitatively control cell-COL interaction, we show that epithelial cells developed various patterns in response to fine-tuned percentages of COL in ECM. In contrast with conventional thoughts, these patterns were initiated and maintained by traction forces created by cells but not diffusive factors secreted by cells. In particular, COL-dependent transmission of force in the ECM led to long-scale (up to 600 μm) interactions between cells. A mechanical feedback effect was encountered when cells used forces to modify cell positioning and COL distribution and orientations. Such feedback led to a bistability in the formation of linear, tubule-like patterns. Using micro-patterning technique, we further show that the stability of tubule-like patterns depended on the lengths of tubules. Our results suggest a mechanical mechanism that cells can use to initiate and maintain long-scale tubular patterns.tubulogenesis | biomechanics | morphogenesis T o enable long-range bulk transport of liquid and gas, tubules are the most commonly used form of tissue architecture in our bodies. Examples where tubules are used include lung, mammary gland, blood vessels, salivary gland, and kidney (1-4). Tubule formation requires aligning the positions of individual cells (of size approximately 10-20 microns) over long spatial scales (from hundreds of microns to centimeters, i.e., the size of organs). Although current studies focus on how genetics and morphogens control tubule formation (5-10), ECM molecules are also known to be important in the patterning of tubular structures (11-15). In particular, normal epithelia are surrounded by two ECM components: basement membrane (BM) and type I collagen (COL) (16, 17), with COL fibers frequently found around epithelial tubules, e.g., the milk ducts in the mammary gland (18). Accordingly, adding collagenase or stimulating COL expression in the ECM perturbs epithelial tubular growth (13,19,20). Nevertheless, how cell-COL interactions contribute to the initiation or the maintenance of long-scale tubular patterns is unclear.Here, we quantitatively study how cells change their morphology in response to the presence of COL in the ECM and how such morphogenetic changes lead to the formation of long-scale tubular patterns. Previous studies showed that breast epithelial cells developed long-scale tubules (length ≥ 400 μm) in COL gels (21, 22), whereas they formed globular acini (diameter approximately 100 μm) in BM gels (23,24). We thus developed a two-step process to control cel...