CHAPTER 2 BACKGROUND Contact Guidance The reaction of cells in vitro to the substrate they come into contact with has been traditionally separated into two main features: topography and surface chemistry. Cells adhere to surfaces via specific adhesion molecules that interact with proteins adsorbed onto the surface of the substrate. Thus, if the surface chemistry is favorable to adhesive protein adsorption, then the material should be favorable to cell adhesion. However, the topography of the surface is also important not only in the adhesion of the cells to the surface, but also in the behavior of the cells' metabolism and growth patterns after the initial contact. The purpose of understanding and controlling cell and tissue growth on artificial materials is to be able to design and implant medical devices that improve biocompatibility and functionality. Surface Topography The response of the cell to topography has been referred to as "contact guidance."[6, 7] The first known reference to the effect of substrate topography on growth characteristics comes from the growth of embryonic cells on plasma clots and spider webs.81 Rovensky et al. used V-shaped grooves formed from copies of music records to show that chick embryo fibroblasts migrated from the bottom of the groove to the top over a period of hours and aligned along the texture.[9] Dunn and Heath examined chick heart fibroblasts growing on glass fibers to examine the effect of radius of curvature on