Abstract"Distributed stem cells (DSCs)" refers to stem cells that function in a tissue-specific manner in pre-and post-natal tissues. Asymmetric self-renewal by DSCs distinguishes them from pluripotent stem cells and embryonic precursor cells. DSCs, which first appear during fetal development, continuously replenish expired mature differentiated tissue cells while maintaining their own undifferentiated stem cell phenotype. The exact mathematical form of DSC asymmetric self-renewal is a long-standing unsettled issue in tissue cell biology. The key question is whether asymmetric self-renewal occurs by stochastic differentiation in pools of DSCs or by deterministic asymmetric cell divisions by individual DSCs. Although the cellular outputs of these two formulations can be equivalent, the molecular and cellular implications are profoundly different. Stochastic DSCs are predicted to undergo differentiation, leading to an extinction probability for tissue units; but deterministic DSCs are predicted to be differentiation resistant. We investigated cell differentiation by cultured rat hepatic DSC strains that were derived by suppression of asymmetric cell kinetics (SACK). Unlike conventional rat hepatic cell lines, derived in parallel, a significant fraction of cells in cultures of SACK-derived DSCs resisted differentiation by transforming growth factor β-1 (TGFβ-1) while simultaneously dividing asymmetrically to produce TGFβ-1 responsive sister cells. This property, termed "asymmetric adifferentiation" is attributable to the DSCs in these cultures. These findings provide direct evidence that, in vitro, some mammalian DSCs can deterministically resist differentiation, while producing differentiating cell lineages by asymmetric cell division. This discovery adds to the growing body of evidence that, in culture, DSCs asymmetrically self-renew deterministically. Asymmetric adifferentiation by DSCs has potential to serve as a unique functional basis for their specific identification in tissues, as well as in culture.