Introduction Current standard therapy for full-thickness injuries, like chronic wounds or burns, is transplantation with autologous skin grafts. In the last decade, epithelial sheets cultivated with keratinocytes and dermal fibroblasts were typically used for engraftment of patients with extensive skin injuries (Atiyeh and Costagliola, 2007). Although they appeared very promising, several limitations occurred over time, such as long culturing periods, low rates of cellular viability, risk of infection, and high cost (Lootens et al., 2013). Moreover, cell division arrest was reported after 30 to 40 population doublings, thus limiting the life span of keratinocytes in culture (Chapman et al., 2010). Stem cells represent a viable therapeutic alternative for skin repair due to their specific properties of self-renewal, high proliferation rate, and ability to develop terminally differentiated cells (Markeson et al., 2013). They can be easily isolated, in vitro multiplied, and used in autologous methodologies of regenerative medicine without the risk of tumor development (Silva et al., 2013). Many studies have reported isolation of mesenchymal stem cells (MSCs) from bone marrow (Bara et al., 2014), adipose tissue (Brzoska et al., 2005), or Wharton's jelly (Crisan, 2013), and their differentiation in cells of mesodermal origin like osteocytes, adipocytes, chondrocytes, and myocytes. Little research was focused on MSC differentiation into ectodermal lineage, like epidermal cells, in order to develop stem cell-based skin therapies (Zuk, 2013). To our knowledge, the mechanisms of adipose tissue-derived stem cells (ASCs) transdifferentiation into skin cell lineages and their therapeutic effects are currently discussed (Derby et al., 2014). The present study aimed to investigate the capacity of human ASCs to differentiate in vitro into a keratinocyte lineage, using specific induction medium containing a mixture of growth factors. The expression of distinctive keratinocyte markers was analyzed by immunofluorescence and RT-PCR. Additionally, the interaction between ASCs and HaCaT keratinocytes was investigated in two coculture assays using a viability test, light microscopy, and flow cytometry techniques.