A method is outlined that completely separates intracellular and extracellular information in NMR spectra of perfused cells. The technique uses diffusion weighting to exploit differences in motional properties between intra-and extracellular constituents. This allows monitoring of intracellular metabolism, and oftransport of small drugs and nutrients through the cell membrane, under controlled physiological conditions. As a first example, proton spectra of drug-resistant MCF-7 human breast cancer cells are studied, and uptake of phenylalanine is monitored.To rationally design and test chemotherapeutic drugs, it is important to gain an understanding of basic tumor cell metabolism and transport. Monitoring of prolonged metabolic processes under controlled conditions requires continuous perfusion of a batch of a certain cell type, a procedure currently applied to 31P magnetic resonance (MR) studies of cells embedded in an agarose gel (1, 2). This setup (Fig. 1) provides an ex vivo tumor model with actively metabolizing cells.A major problem encountered in the NMR study of cells and organs is discrimination between intra-and extracellular contributions to the spectrum. This problem is more pronounced when the extracellular fraction increases and therefore depends on cell density. In ex vivo studies, this density may be orders of magnitude lower than in vivo. For instance, for breast cancer cells embedded in agarose gel, the extracellular water volume is about a factor of 100 larger than the total intracellular one. Thus, the NMR signal from a 0.1 mM metabolite in the perfusion medium will be comparable in intensity to 10 mM of this same metabolite in the cell, complicating the interpretation of signal intensity changes in terms of intracellular metabolite concentrations. For proton studies an additional problem arises due to the presence of the intense water resonance. For the typical example above, total intra-and extracellular water has a signal intensity that is a factor of about 106 higher than that for a 10 mM metabolite. As a result, proton spectra of intracellular metabolites in perfused cell cultures have never been reported. However, proton experiments can provide information about many compounds in the free metabolite pool of the cell as well as about most drugs, and it is important to find a solution for these difficulties. Proton spectra of cell suspensions have been reported (3, 4), but separation of intra-and extracellular signals is not straightforward.Here we address the problem using the difference in motional properties ofthese components (5-10). Intracellular species diffuse in the cellular matrix with an effective diffusion constant Di, which depends on several factors-e.g., molecular size, bonding, viscosity, temperature, and possible restrictions due to compartmentation (5-9, 11, 12). When extracellular, these species have a diffusion constant De in neat medium but also flow through the perfusion vial holding cells and their support system (an agarose gel). In this paper we use these di...