During the last decade there has been an exponential increase in data illustrating that the nervous and immune systems are not disparate entities.1,2) The nerve-mast cell relationship has served as a prototypic association and has provided substantial evidence for bi-directional communication between nerves and immune cells.3) Early studies elegantly described the non-random spatial association of nerves and mast cells in a variety of tissues in which actual membrane-membrane contacts could be observed. 4,5) To understand these events we have studied recently direct neurite-mast cell (RBL) communication using an in vitro co-culture approach and a calcium imaging by confocal laser scanning microscopy (CLSM). Our results showed clearly that nerve-mast cell communication can occur in the absence of an intermediary transducing cell and that the neuropeptide substance P, operating via NK-1 receptors, is an important mediator of this communication.6) Our findings have implications for the neuroimmune signaling cascade that are likely to occur during airways inflammation, intestinal hypersensitivity, and other conditions in which mast cells feature. [6][7][8] In addition we studied by atomic force microscopy (AFM) the morphological structure of the interaction between neurites and mast cells (RBL) which was involved in the communication.9) AFM images showed that association between the growth cone of neurites and the RBL cell occurred over ca. 7 mm and that direct neurite-mast cell cross-talk induced degranulation in RBL cells via the neuropeptide substance P.In the present paper we have focused on the molecular mechanism of the membrane proteins involved in the synapse-like structure between neurites and mast cells. We used an in vitro co-culture approach comprising superior cervical ganglia (SCG) and mouse bone marrow-derived mast cells (BMMC) besides RBL cells. Mast cells are classified into two types. One is mucosal and another is connective tissue type. Both RBL cells and BMMCs belong to mucosal type mast cells. However, RBL cells are much more adhesive than BMMCs and would like to non-specifically stick to the supported matrigel-coated plate of glass dishes. They also have a malignant feature. In addition, nerves most commonly associated with mast cells in vivo contain substance P.5) Substance P in isolated neurons from SCG maintained in culture showed a 25-fold increase within 48 h in vitro.10) Therefore, we studied an in vitro co-culture approach comprising SCG and BMMC to understand precisely adhesion proteins that play a role in the neurite-mast cell communication.Cadherins are a family of calcium-dependent and homophilic cell adhesion proteins that play in the formation of synaptic plasticity. E-and N-cadherins, which are classic cadherins, are found in synapses and they appear to straddle the presynaptic and postsynaptic membranes surrounding the active zone and the postsynaptic density.11) Cadherins mediate strong adhesion through intracellular interaction with b-catenin, which in turn associates with a-ca...