The principle finding of this study is the further demonstration of the metabolic inflexibility of skeletal muscle myotubes developed from morbidly obese individuals. It was demonstrated that the acute exposure of cultured skeletal muscle myotubes derived from obese individuals to leptin failed to alter the expression of several key lipid oxidative and mitochondrial genes. Contrary to the obese derived myotubes, cells derived from lean and healthy controls demonstrated a capacity to increase the expression of several key genes. Further analysis is required to elucidate the mechanisms involved, with studies needed to examine leptin-receptor mediated events.