The mechanical environment plays an important role in cell signaling and tissue homeostasis. Unraveling connections between externally applied loads and the cellular response is often confounded by extracellular matrix (ECM) heterogeneity. Image-based multiscale models provide a foundation for examining the fine details of tissue behavior, but they require validation at multiple scales. In this study, we developed a multiscale model that captured the anisotropy and heterogeneity of a cell-compacted collagen gel subjected to an offaxis hold mechanical test and subsequently to biaxial extension. In both the model and experiments, the ECM reorganized in a nonaffine and heterogeneous manner that depended on multiscale interactions between the fiber networks. Simulations predicted that tensile and compressive fiber forces were produced to accommodate macroscopic displacements. Fiber forces in the simulation ranged from ؊11.3 to 437.7 nN, with a significant fraction of fibers under compression (12.1% during off-axis stretch). The heterogeneous network restructuring predicted by the model serves as an example of how multiscale modeling techniques provide a theoretical framework for understanding relationships between ECM structure and tissue-level mechanical properties and how microscopic fiber rearrangements could lead to mechanotransductive cell signaling.mechanobiology ͉ tissue mechanics ͉ biomechanics ͉ cruciforms M any activities of anchorage-dependent cells, including proliferation (1, 2), migration (3-5), gene expression/protein synthesis (6, 7), chemical responsiveness (8, 9), and differentiation (10, 11), are mediated by mechanical interactions between the cells and their environment. Although it is often convenient for us to treat the cell's environment and interactions therewith as isotropic and homogeneous, the vast body of biology argues against that simplification. Tissues may appear homogeneous at the macroscopic scale, but they are, in fact, highly hierarchical, appearing as discrete structural entities (e.g., fibers) when viewed at the scale of a cell. Likewise, the cell does not interact smoothly with its surroundings, but rather forms cell-matrix adhesions, which are also distributed heterogeneously at discrete locations over the cell surface (12).It is thus imperative that we explore mechanobiology not just in terms of gross tissue mechanics, but also in terms of the constituents of the tissue, taking as detailed a view as possible. One must recognize that a nominally homogeneous loading environment on the tissue scale, such as uniaxial extension, in fact is highly heterogeneous at the fiber scale, with some fibers possibly even being in compression (i.e., buckled) because of the complex interactions of the network. Because the cell interrogates only a fraction of the total fiber population, a more detailed view of the extracellular matrix (ECM) is needed. Our group is developing multiscale modeling techniques to understand how the complex mechanical interactions that arise within the ECM microstruc...