There is interest in the neurological and immune components in skin, but most studies only focus on one system at a time, not both. [1,4,16] The in vitro HSE system described herein is a multilayered, full thickness skin model, containing only primary human cells, including human induced neural stem cells (hiNSCs), and tissue-inherent immune cells from lipoaspirate utilized in the hypodermis. [6] In order to compare the effect of the tissue components (i.e., hiNSCs, hypodermis, and the dermis/ epidermis), a parametric study was performed of the system in vitro. Through RNA Sequencing (RNASeq) and protein analysis it was determined that each sample group (dermis/epidermis alone, dermis/epidermis + hiNSCs, etc.) was distinct in terms of functions, gene expression profiles, and enriched biological pathways. Each sample group expressed genes related to several phenomena key to skin biology, including skin development, neuronal system development, inflammation, and immune system process.Through RNASeq, numerous genes were up-or downregulated in a distinct manner with respect to the specific HSE study group (i.e., each HSE group had distinct gene expression) that would not have been possible to identify as quickly or thoroughly by other techniques such as real-time reverse transcriptase polymerase chain reaction (qRT-PCR) or microarrays due to lower sensitivity and throughput. [17,18] Further, RNASeq allowed the identification of genes which may be important for development of an in vitro HSE model, and which were different with the study groups that contained neural or immune components. In comparison to the RNASeq results from less complex skin models (such as a keratinocyte model), the tissue models described herein identified more genes, likely due to the addition of important cell types of the skin including adipose, neural, and immune components. We speculate that such additional complexity and readouts could be useful for studies related to in vitro studies, such as insight into diseases like psoriasis. [19] The skin is a highly organized and complex organ that maintains homeostasis. The neuro-immuno-cutaneous system refers to one of the interconnected systems of the skin, in which neural, immune, and dermal cells, including neuropeptides and cytokines, are in bidirectional communication with A variety of human skin equivalents (HSEs) has been designed for clinical use or for exploratory skin research. In vitro HSE models have been used to target relationships between the skin and nervous or immune systems but have not yet considered the neuro-immuno-cutaneous (NIC) system. In this study, HSEs are described, with and without neural and immune components, to discern these types of effects. These systems are composed of only primary human cells and contain an epidermis, dermis, hypodermis (with immune cells), and human induced neural stem cells for the neuronal component. RNA sequencing is utilized to confirm differences between sample groups and to identify unique or important genes with respect to sample type. O...