Tissue function is modulated by an intricate architecture of cells and biom
olecules on a micrometer scale. Until now, in vitro cellular interactions w
ere mainly studied by random seeding over homogeneous substrates. Although
this strategy has led to important discoveries, it is clearly a nonoptimal
analog of the in vivo scenario. With the incorporation-and adaptation-of mi
crofabrication technology into biology, it is now possible to design surfac
es that reproduce some of the aspects of that architecture. This article re
views past research on the engineering of cell-substrate, cell-cell, and ce
ll-medium interactions on the micrometer scale.