Measurements of the kinetics of hyperpolarized 13 C label exchange between [1-13 C]pyruvate and lactate in suspensions of intact and lysed murine lymphoma cells, and in cells in which lactate dehydrogenase expression had been modulated by inhibition of the PI3K pathway, were used to determine quantitatively the role of enzyme activity and membrane transport in controlling isotope flux. Both steps were shown to share in the control of isotope flux in these cells. The kinetics of label exchange were well described by a kinetic model that employed rate constants for the lactate dehydrogenase reaction that had been determined previously from steady state kinetic studies. The enzyme showed pyruvate inhibition in steady state kinetic measurements, which the kinetic model predicted should also be observed in the isotope exchange measurements. However, no such pyruvate inhibition was observed in either intact cells or cell lysates and this could be explained by the much higher enzyme concentrations present in the isotope exchange experiments. The kinetic analysis presented here shows how lactate dehydrogenase activity can be determined from the isotope exchange measurements. The kinetic model should be useful for modeling the exchange reaction in vivo, particularly as this technique progresses to the clinic.Magnetic resonance spectroscopy is a powerful tool for the non-invasive investigation of cellular metabolism, in systems ranging from isolated cells, through perfused organs (1), and small animals to humans (2, 3). A fundamental limitation of magnetic resonance spectroscopy has been a lack sensitivity, which limits temporal resolution to the minute time scale and spatial resolution to 1-10 cm 3 , depending on the magnetic field strength and nucleus detected (4). The recent introduction of dissolution dynamic nuclear polarization (5), which can increase the sensitivity of the magnetic resonance experiment by more than 10,000-fold, has had a significant impact on the field (reviewed in Refs. 6 and 7), dramatically increasing the temporal resolution to the second time scale and the spatial resolution to the millimeter scale. With this technique the 13 C nucleus, in a 13 C-labeled cell metabolite, is hyperpolarized and then injected into the biological system, where this may be an intravenous injection into a small animal or human. The gain in sensitivity, due to hyperpolarization of the 13 C nucleus, means that there is now sufficient signal to image the distribution of the labeled metabolite in the body and, more importantly, its metabolism and conversion into other cellular metabolites. The main limitation is the relatively short lifetime of the polarization, which in the 13 C-labeled metabolites, which have been used to date, is between 10 and 30 s. This means that spectroscopic imaging must be accomplished within 2-3 min and the labeled molecule must be taken up by cells and metabolized very rapidly for a significant labeling of other cell metabolites within the lifetime of the polarization. Although other nuclei ca...