Lactate dehydrogenase (LDH, EC 1.1.1.27) catalyzes an exchange reaction between pyruvate and lactate. It is demonstrated here that this reaction is sufficiently fast to cause a significant magnetization (saturation) transfer effect when the 13 C resonance of pyruvate is saturated by a continuous-wave (CW) RF pulse. Infusion of [2-13 C]glucose was used to allow labeling of pyruvate C2 at 207.9 ppm to determine the pseudo first-order rate constant of the unidirectional lactate 3 pyruvate flux in vivo. During systemic administration of GABA A receptor antagonist bicuculline, this pseudo first-order rate constant was determined to be 0.08 ؎ 0.01 s ؊1 (mean ؎ SD, N ؍ 4) in halothane-anesthetized adult rat brains. In 9L and C6 rat glioma models, the 13 C saturation transfer effect of the LDH reaction was also detected in vivo. Our results demonstrate that the 13 C magnetization transfer effect of the LDH reaction may be useful as a novel marker for utilizing noninvasive in vivo MRS to study many physiological and pathological conditions, such as cancer. Magn Reson Med 57:258 -264, 2007.