The goal of substrate topography is to direct the cells to grow in a certain pattern and direction. Cells tend to align along a groove and move along this surface. Studies have shown that moderately porous materials improve cellular adhesion, which is possibly due to mechanical stability along with increased surface area for adhesion.[22-24] Endothelial cells (ECs) also have been shown to align along the direction of fluid flow.[25- 27] In addition flow has been demonstrated to play a role in altering the mechanical properties of ECs. When subjected to a shear stress of 2 Pa over 24 hours, the endothelial cells gradually increased their stiffness as measured by the atomic force microscope.[26] The methods of producing the precise surface morphologies vary depending on the size of the pattern and the material on which the pattern is being replicated. The smallest patterns are produced with direct write laser lithography[28] and AFM lithography while those on the 2-10 um scale are produced with UV photolithography, followed by reactive ion etching to control the slope of the walls.12' 29-32] The most common method used in these experiments for producing features is to first lithographically produce the pattern on a silicon wafer, then replicate that pattern by embossing or spin casting onto the substrate.[33] The grooves and ridges formed on these substrates have shown significant control over growth directions of cells. Current discussion focuses on the mechanisms behind the alignment of these cells to the surface topography. Von Recum and van Kooten question whether or not the actual geometries of the features are the defining factor, or the fact that there is a change in surface free energy due to edges and disruptions in the planar surface.[34] den Braber et al. concluded that parameters such as surface free energy and wettability influence fibroblast growth and proliferation on microtextured surfaces,