In cancer, high extracellular lactate concentrations are associated with tumour aggressiveness, immune evasion and metastatic potential. We show that diffusion-weighted STEAM 2H-MRS of deuterium-enriched substrates can differentiate between intracellular and extracellular metabolites. Experiments in a model yeast system show the feasibility of detection of intracellular ethanol accumulation, produced via anaerobic fermentation of deuterium enriched glucose. These studies show potential to improve the capability of 2H-MRS for assessment of tumour aggressiveness.
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