A L Okunade

Center for Human Nutrition, Washington University School of Medicine, St. Louis, MO.

40 publications 1987 – 2021 ORCID

What does A L Okunade research?

A L Okunade studies how various factors, such as exercise and diet, affect metabolic health in individuals with obesity and related conditions like prediabetes and fatty liver disease. One of their key interests is in how physical activities like resistance training can improve the body's ability to manage blood sugar and fat levels after meals. They also explore how insulin resistance—a condition where the body's cells do not respond effectively to insulin—leads to fat accumulation in the liver, which is a common issue in people with obesity. By analyzing the effects of different types of diets and physical activity, Okunade seeks to uncover strategies for improving metabolic function and preventing diseases associated with obesity.

Key findings

  • A single session of resistance exercise reduced post-meal blood sugar spikes by improving insulin sensitivity in obese men with prediabetes.
  • Weight loss of just 10% led to a significant reduction in liver fat production, linking insulin resistance as a driver of fatty liver disease.
  • In a study of children with Barth syndrome, researchers found that impaired fat burning during exercise was compensated by increased glucose burning, highlighting metabolic challenges in this population.

Frequently asked questions

Does Dr. Okunade study obesity?
Yes, Dr. Okunade's research focuses on obesity and its related conditions, specifically how exercise and weight loss can improve metabolic health.
What treatments has Dr. Okunade researched?
Dr. Okunade has researched treatments involving resistance exercise and weight loss, examining their effects on blood sugar control and fat metabolism.
Is Dr. Okunade's work relevant to people with prediabetes?
Absolutely, Dr. Okunade's studies specifically target obese individuals with prediabetes, aiming to improve their metabolic health through exercise.
What is the connection between insulin resistance and fatty liver disease in Dr. Okunade's work?
Dr. Okunade found that insulin resistance significantly contributes to increased fat production in the liver, leading to fatty liver disease among obese individuals.
How does exercise benefit blood sugar control according to Dr. Okunade's research?
Their research indicates that a single session of resistance exercise before meals can lower blood sugar spikes by increasing insulin sensitivity.

Publications in plain English

A Single Bout of Premeal Resistance Exercise Improves Postprandial Glucose Metabolism in Obese Men with Prediabetes.

2021

Medicine and science in sports and exercise

Bittel AJ, Bittel DC, Mittendorfer B, Patterson BW, Okunade AL +3 more

Plain English
This study tested whether a single session of weight training before a meal improves blood sugar control in obese men with prediabetes. One workout reduced the blood sugar spike after eating by increasing insulin sensitivity and lowering the amount of glucose released into the bloodstream. This shows that resistance exercise has an immediate, measurable benefit on blood sugar metabolism even before any weight is lost.

PubMed

Insulin resistance drives hepatic de novo lipogenesis in nonalcoholic fatty liver disease.

2020

The Journal of clinical investigation

Smith GI, Shankaran M, Yoshino M, Schweitzer GG, Chondronikola M +9 more

Plain English
This study investigated what drives fat buildup in the liver in people with fatty liver disease and whether weight loss reverses it. The liver's own fat production was three times higher in obese people with fatty liver compared to lean people, and this overproduction was tightly linked to elevated blood insulin and glucose levels. Losing 10% of body weight reduced liver fat by lowering the liver's fat production, identifying insulin resistance as the key driver.

PubMed

A single bout of resistance exercise improves postprandial lipid metabolism in overweight/obese men with prediabetes.

2020

Diabetologia

Bittel AJ, Bittel DC, Mittendorfer B, Patterson BW, Okunade AL +5 more

Plain English
Researchers examined why a single bout of resistance exercise lowers blood fat levels after a meal in obese men with prediabetes. Exercise reduced fat levels by cutting how much dietary and body-derived fat was packaged into triglyceride particles, while also boosting fat burning in muscle and fat tissue. This points to specific biological mechanisms that could explain how exercise reduces heart disease and diabetes risk.

PubMed

Blunted fat oxidation upon submaximal exercise is partially compensated by enhanced glucose metabolism in children, adolescents, and young adults with Barth syndrome.

2019

Journal of inherited metabolic disease

Cade WT, Bohnert KL, Peterson LR, Patterson BW, Bittel AJ +10 more

Plain English
Children and young adults with Barth syndrome — a rare genetic condition affecting the heart and muscles — were studied to understand how their bodies use fuel during exercise. Their ability to burn fat during physical activity was severely impaired, and the body partially compensated by burning more glucose instead. These metabolic defects appear to be a core feature of the disease and help explain the exercise intolerance seen in these patients.

PubMed

Effect of Progressive Weight Loss on Lactate Metabolism: A Randomized Controlled Trial.

2018

Obesity (Silver Spring, Md.)

Chondronikola M, Magkos F, Yoshino J, Okunade AL, Patterson BW +3 more

Plain English
Researchers tracked blood lactate — a byproduct of glucose metabolism — in obese people as they progressively lost weight over six months. At baseline, higher lactate levels correlated with more liver glucose production and worse insulin sensitivity; as people lost 5% to 16% of their weight, lactate levels fell in step with improvements in both measures. This positions blood lactate as a practical biomarker for monitoring insulin resistance alongside weight loss.

PubMed

The muscle anabolic effect of protein ingestion during a hyperinsulinaemic euglycaemic clamp in middle-aged women is not caused by leucine alone.

2018

The Journal of physiology

van Vliet S, Smith GI, Porter L, Ramaswamy R, Reeds DN +4 more

Plain English
This study tested the common belief that leucine, an amino acid in protein, is solely responsible for triggering muscle protein synthesis after eating protein. When women consumed protein or an equivalent dose of leucine alone during controlled insulin conditions, only protein — not leucine alone — increased muscle protein synthesis. Leucine activates signaling pathways but is not sufficient by itself; other amino acids in protein are also needed to fully build muscle.

PubMed

Diurnal Variation in PDK4 Expression Is Associated With Plasma Free Fatty Acid Availability in People.

2018

The Journal of clinical endocrinology and metabolism

Yamaguchi S, Moseley AC, Almeda-Valdes P, Stromsdorfer KL, Franczyk MP +4 more

Plain English
Researchers tracked how a metabolic enzyme called PDK4 changes throughout the day in women's blood cells and fat tissue, and discovered it rises and falls in sync with levels of free fatty acids in the bloodstream rather than following the body's internal clock genes. The enzyme PDK4 controls whether your body burns sugar or fat for energy, and the team found that free fatty acids directly trigger PDK4 production—essentially, when fat is available in your blood, your cells ramp up this enzyme to use that fat as fuel. This matters because it reveals how your body's ability to switch between fuel sources isn't just controlled by your biological clock, but also by what nutrients are actually circulating in your blood, which could help explain why eating patterns affect metabolism differently throughout the day.

PubMed

Alterations in 3-Hydroxyisobutyrate and FGF21 Metabolism Are Associated With Protein Ingestion-Induced Insulin Resistance.

2017

Diabetes

Harris LLS, Smith GI, Patterson BW, Ramaswamy RS, Okunade AL +5 more

Plain English
Researchers investigated why eating protein reduces the body's response to insulin, looking at a valine breakdown product (3-HIB) and the hormone FGF21 as potential mediators. Protein ingestion blocked the normal insulin-driven decrease in 3-HIB and increase in FGF21, while leucine alone did not affect insulin sensitivity. This implicates 3-HIB and FGF21 as part of the mechanism by which protein in the diet can temporarily blunt insulin action in humans.

PubMed

Roux-en-Y Gastric Bypass Surgery Has Unique Effects on Postprandial FGF21 but Not FGF19 Secretion.

2017

The Journal of clinical endocrinology and metabolism

Harris LLS, Smith GI, Mittendorfer B, Eagon JC, Okunade AL +2 more

Plain English
This study compared how gastric bypass surgery and gastric banding affect two gut hormones, FGF19 and FGF21, after eating. Both surgeries raised FGF19 after meals, but only bypass surgery — which reroutes food rapidly to the small intestine — uniquely elevated FGF21 after meals. The finding suggests the physical rearrangement of the gut in bypass surgery, not just weight loss itself, drives specific hormonal changes that may contribute to metabolic improvement.

PubMed

Physiological Mechanisms of Weight Gain-Induced Steatosis in People With Obesity.

2016

Gastroenterology

Fabbrini E, Tiemann Luecking C, Love-Gregory L, Okunade AL, Yoshino M +3 more

Plain English
This study measured the biological processes that cause fat to accumulate in the liver when people with obesity gain weight. Weight gain disrupted the balance between fat entering the liver and fat leaving it — increasing fat production and reducing fat burning without adequately boosting fat export. These specific imbalances identify multiple potential targets for treating fatty liver disease.

PubMed

Effects of Moderate and Subsequent Progressive Weight Loss on Metabolic Function and Adipose Tissue Biology in Humans with Obesity.

2016

Cell metabolism

Magkos F, Fraterrigo G, Yoshino J, Luecking C, Kirbach K +6 more

Plain English
A clinical trial tested the metabolic benefits of losing 5%, 11%, and 16% of body weight in people with obesity. Even 5% weight loss improved insulin sensitivity in the liver, muscle, and fat tissue, as well as insulin secretion, without reducing inflammation. Each additional increment of weight loss produced further dose-dependent improvements, especially in fat tissue gene activity, showing that meaningful metabolic gains begin with modest weight loss.

PubMed

Adipose tissue monomethyl branched-chain fatty acids and insulin sensitivity: Effects of obesity and weight loss.

2015

Obesity (Silver Spring, Md.)

Su X, Magkos F, Zhou D, Eagon JC, Fabbrini E +2 more

Plain English
This study examined whether a specific type of fatty acid in fat tissue — derived from breaking down branched-chain amino acids — is linked to insulin sensitivity. People with obesity had about 30% lower levels of these fatty acids compared to lean people, and levels rose by 65% after major weight loss surgery. Higher levels correlated with better muscle insulin sensitivity, suggesting fat tissue's ability to metabolize certain amino acids may be relevant to insulin resistance.

PubMed

Metabolically normal obese people are protected from adverse effects following weight gain.

2015

The Journal of clinical investigation

Fabbrini E, Yoshino J, Yoshino M, Magkos F, Tiemann Luecking C +5 more

Plain English
This study tested whether metabolically healthy obese people (with normal liver fat and insulin sensitivity) are protected from the harmful effects of gaining a few more pounds. Weight gain worsened insulin sensitivity and raised blood fat levels in metabolically unhealthy obese people, but not in metabolically healthy ones. Metabolically healthy obese individuals appear to have fat tissue that can safely store extra fat through lipogenesis, buffering against metabolic harm.

PubMed

Increased glutamine catabolism mediates bone anabolism in response to WNT signaling.

2015

The Journal of clinical investigation

Karner CM, Esen E, Okunade AL, Patterson BW, Long F

Plain English
Researchers found that the WNT signaling pathway, which drives bone formation, stimulates bone-building cells to break down the amino acid glutamine for energy. The drop in glutamine triggered a stress response that increased the cell's capacity to make proteins, supporting the growth of new bone. Blocking glutamine breakdown suppressed abnormal bone overgrowth in mice, suggesting this pathway could be targeted to treat bone density disorders.

PubMed

Effect of Roux-en-Y Gastric Bypass Surgery: Converting 2 Alcoholic Drinks to 4.

2015

JAMA surgery

Pepino MY, Okunade AL, Eagon JC, Bartholow BD, Bucholz K +1 more

PubMed

Systemic delivery of estradiol, but not testosterone or progesterone, alters very low density lipoprotein-triglyceride kinetics in postmenopausal women.

2014

The Journal of clinical endocrinology and metabolism

Smith GI, Reeds DN, Okunade AL, Patterson BW, Mittendorfer B

Plain English
Postmenopausal women were given estradiol, progesterone, or testosterone through skin patches and gels to test which sex hormone drives differences in blood triglyceride levels. Only estradiol reduced triglycerides — by about 30% — by speeding up the clearance of triglyceride-carrying particles from the bloodstream. This identifies estradiol as the primary sex hormone regulating triglyceride metabolism in women.

PubMed

Diurnal variation in insulin sensitivity of glucose metabolism is associated with diurnal variations in whole-body and cellular fatty acid metabolism in metabolically normal women.

2014

The Journal of clinical endocrinology and metabolism

Yoshino J, Almeda-Valdes P, Patterson BW, Okunade AL, Imai S +2 more

Plain English
This study investigated why the body is less sensitive to insulin in the evening than in the morning in healthy women. Before dinner, circulating free fatty acids were higher than before breakfast, while muscle genes for burning fat were lower and genes for making fat were higher in the evening. These shifts in fat metabolism — linked to daily clock gene rhythms in muscle — appear to be a main reason insulin works less effectively later in the day.

PubMed

Matched weight loss induced by sleeve gastrectomy or gastric bypass similarly improves metabolic function in obese subjects.

2014

Obesity (Silver Spring, Md.)

Bradley D, Magkos F, Eagon JC, Varela JE, Gastaldelli A +3 more

Plain English
Researchers compared the metabolic effects of Roux-en-Y gastric bypass and sleeve gastrectomy when patients lost the same amount of weight (about 20%). Both surgeries produced equivalent improvements in insulin sensitivity, beta-cell function, and blood sugar control after meals. The results indicate that the metabolic benefits of bariatric surgery are largely explained by weight loss rather than the specific surgical anatomy.

PubMed

The brown fat-enriched secreted factor Nrg4 preserves metabolic homeostasis through attenuation of hepatic lipogenesis.

2014

Nature medicine

Wang GX, Zhao XY, Meng ZX, Kern M, Dietrich A +8 more

Plain English
Brown fat normally burns energy to produce heat, but this study showed it also communicates with the liver through a secreted protein called Nrg4. Nrg4 suppresses fat production in the liver, and obese rodents and humans had lower Nrg4 levels; restoring it in mice protected against fatty liver and insulin resistance. This identifies Nrg4 as a hormone-like signal from brown fat with potential as a treatment for obesity-related metabolic disease.

PubMed

Role of fat body lipogenesis in protection against the effects of caloric overload in Drosophila.

2013

The Journal of biological chemistry

Musselman LP, Fink JL, Ramachandran PV, Patterson BW, Okunade AL +4 more

Plain English
Using fruit flies fed high-sugar diets, this study showed that the fat body (the fly equivalent of liver and fat tissue) needs to convert excess dietary sugar into stored fat to survive caloric overload. Flies that could not perform this fat synthesis died on high-sugar diets, while flies with increased fat storage capacity fared better and had lower blood sugar. The findings highlight fat synthesis as a protective response to dietary excess, not just a harmful byproduct.

PubMed

WNT-LRP5 signaling induces Warburg effect through mTORC2 activation during osteoblast differentiation.

2013

Cell metabolism

Esen E, Chen J, Karner CM, Okunade AL, Patterson BW +1 more

Plain English
WNT signaling, a key pathway controlling bone cell development, was found to reprogram bone-building cells to burn glucose through aerobic glycolysis (the Warburg effect), a process typically associated with cancer. This metabolic shift required the LRP5 co-receptor and the mTORC2 signaling pathway, and was necessary for normal bone formation. Mice with naturally high bone mass showed increased glycolysis in bone, linking this metabolic rewiring directly to bone density.

PubMed

One day of mixed meal overfeeding reduces hepatic insulin sensitivity and increases VLDL particle but not VLDL-triglyceride secretion in overweight and obese men.

2013

The Journal of clinical endocrinology and metabolism

Smith GI, Magkos F, Reeds DN, Okunade AL, Patterson BW +1 more

Plain English
This study examined what happens to fat metabolism after just one day of eating 30% more calories than needed in overweight and obese men. A single day of overeating reduced liver insulin sensitivity and increased secretion of fat-carrying lipoprotein particles from the liver, even without changing overall fat in the blood. The findings show that acute caloric excess rapidly impairs liver metabolism before any weight gain occurs.

PubMed

Validation of a novel index to assess insulin resistance of adipose tissue lipolytic activity in obese subjects.

2012

Journal of lipid research

Fabbrini E, Magkos F, Conte C, Mittendorfer B, Patterson BW +2 more

Plain English
Current methods for measuring insulin resistance in fat tissue require complex and expensive procedures. This study developed and validated a simpler index — the product of a fatty acid tracer rate and blood insulin level — that closely matches results from the gold-standard method. The new index provides researchers with a practical tool for assessing fat tissue insulin resistance in large studies.

PubMed

Stereospecificity of fatty acid 2-hydroxylase and differential functions of 2-hydroxy fatty acid enantiomers.

2012

Journal of lipid research

Guo L, Zhang X, Zhou D, Okunade AL, Su X

Plain English
This study identified the exact molecular form of fatty acids produced by the FA2H enzyme in cells and showed the two mirror-image forms have different biological roles. Knocking down FA2H in fat cells reduced glucose uptake and fat production; the specific (R)-form of the product rescued these effects while the (S)-form did not. The findings clarify how FA2H shapes fat cell function through its effects on cell membrane composition.

PubMed

CD36 level and trafficking are determinants of lipolysis in adipocytes.

2012

FASEB journal : official publication of the Federation of American Societies for Experimental Biology

Zhou D, Samovski D, Okunade AL, Stahl PD, Abumrad NA +1 more

Plain English
This study investigated how CD36, a protein linked to insulin resistance, regulates fat breakdown (lipolysis) in fat cells. Reducing CD36 in fat cells lowered lipolysis by decreasing levels of a signaling molecule (cAMP) needed to activate fat-breakdown enzymes. CD36 at the cell surface acts as a key regulator of how fat cells release stored fat, with implications for understanding fat tissue dysfunction in metabolic disease.

PubMed

Reproducibility of glucose, fatty acid and VLDL kinetics and multi-organ insulin sensitivity in obese subjects with non-alcoholic fatty liver disease.

2011

International journal of obesity (2005)

Magkos F, Fabbrini E, Korenblat K, Okunade AL, Patterson BW +1 more

Plain English
Researchers measured how consistently a battery of metabolic tests performs when repeated on the same people with fatty liver disease two months apart. The reproducibility of measures like liver fat production, insulin sensitivity, and blood fat levels was strong, with most varying by less than 15% between sessions. The data allow future studies to be designed with confidence using small sample sizes of 8–15 people.

PubMed

Insulin sensitivity is not associated with palmitoleate availability in obese humans.

2011

Journal of lipid research

Fabbrini E, Magkos F, Su X, Abumrad NA, Nejedly N +4 more

Plain English
This study tested whether insulin-resistant obese people have lower levels of palmitoleate, a fatty acid thought to improve insulin sensitivity. Comparing insulin-resistant and insulin-sensitive obese individuals, palmitoleate levels in blood fat and triglyceride particles were not significantly different between groups. Reduced palmitoleate availability does not appear to be a contributing factor to insulin resistance in obese people.

PubMed

Fatty acid 2-hydroxylase mediates diffusional mobility of Raft-associated lipids, GLUT4 level, and lipogenesis in 3T3-L1 adipocytes.

2010

The Journal of biological chemistry

Guo L, Zhou D, Pryse KM, Okunade AL, Su X

Plain English
This study examined the role of FA2H, an enzyme that modifies fatty acids, in the function of mature fat cells. FA2H increases markedly when fat cells mature, and reducing it impaired glucose uptake and fat production by altering the fluidity of specialized cell membrane regions (lipid rafts) and lowering the level of a key glucose transporter. The results establish FA2H as a novel regulator of fat cell metabolism.

PubMed

Natural antimycobacterial metabolites: current status.

2004

Phytochemistry

Okunade AL, Elvin-Lewis MP, Lewis WH

Plain English
This review summarizes natural compounds from plants, fungi, and marine organisms that show activity against tuberculosis bacteria in laboratory tests, with attention to the problem of drug-resistant TB. It covers both traditionally used medicinal plants and newer isolated compounds with anti-TB properties. The review serves as a resource for identifying candidates for new tuberculosis drug development.

PubMed

Oleanene constituents of Lantana cujabensis.

2004

Fitoterapia

Okunade AL, Lewis WH

Plain English
Three compounds were isolated from the plant Lantana cujabensis, including one newly identified molecule. Testing showed the plant extracts did not meaningfully inhibit malaria-causing parasites in laboratory conditions. The study contributes to the chemical catalog of this plant species.

PubMed

Antiplasmodial activity of extracts and quassinoids isolated from seedlings of Ailanthus altissima (Simaroubaceae).

2003

Phytotherapy research : PTR

Okunade AL, Bikoff RE, Casper SJ, Oksman A, Goldberg DE +1 more

Plain English
Extracts and isolated compounds from Ailanthus altissima seedlings were tested against malaria parasites in the laboratory. Two compounds called quassinoids — including ailanthone — showed activity against both drug-resistant and drug-sensitive malaria strains, with ailanthone also showing low toxicity to normal cells. This is the first report of one of these compounds from this plant species.

PubMed

Ageratum conyzoides L. (Asteraceae).

2002

Fitoterapia

Okunade AL

Plain English
This review covers the chemical compounds found in Ageratum conyzoides, a medicinal herb used traditionally in tropical regions, and their documented biological activities. The plant contains alkaloids, flavonoids, and other active compounds with antimicrobial and insecticidal properties. The review evaluates the plant's potential for pharmaceutical and agricultural applications.

PubMed

Additional pregnane glycoside from Baseonema acuminatum.

2002

Fitoterapia

Rasamison VE, Cutrone JQ, Okunade AL

Plain English
A new pregnane glycoside named baseonemoside C was isolated and identified from the aerial parts of the plant Baseonema acuminatum. The study adds to the known chemical profile of this plant.

PubMed

Pregnane glycosides from Baseonema acuminatum.

2001

Fitoterapia

Rasamison VE, Okunade AL, Ratsimbason AM, Rafidinarivo E

Plain English
Researchers studied two new compounds called baseonemoside A and B, found in a plant called Baseonema acuminatum. They determined the complex structures of these compounds, which may have potential benefits for health but did not report specific health effects or numerical results in this summary. Understanding these compounds could lead to new treatments since they come from a natural source. Who this helps: This helps researchers exploring new medicinal compounds.

PubMed

Cinchonicine-derived alkaloids from the bark of the Peruvian Ladenbergia oblongifolia.

2001

Fitoterapia

Okunade AL, Lewis WH, Elvin-Lewis MP, Casper SJ, Goldberg DE

Plain English
Three alkaloids were isolated and characterized from the bark of a Peruvian plant, Ladenbergia oblongifolia, related to the cinchona tree family. The study reports their chemical structures based on spectroscopic data. These compounds add to the known alkaloid chemistry of this plant genus.

PubMed

Azaanthraquinone: an antimicrobial alkaloid from Mitracarpus scaber.

1999

Planta medica

Okunade AL, Clark AM, Hufford CD, Oguntimein BO

Plain English
An extract of the African plant Mitracarpus scaber was found to have strong antimicrobial activity, and the active compound was isolated and identified as an azaanthraquinone alkaloid. The compound inhibited pathogens associated with AIDS-related infections in laboratory tests. This study identifies a new naturally occurring antimicrobial compound with potential relevance to opportunistic infection treatment.

PubMed

Antimicrobial properties of Honduran medicinal plants.

1998

Journal of ethnopharmacology

Lentz DL, Clark AM, Hufford CD, Meurer-Grimes B, Passreiter CM +3 more

Plain English
Extracts from 92 medicinal plants used by indigenous communities in Honduras were tested for antimicrobial activity. About a fifth showed antifungal activity and nearly a quarter inhibited bacterial growth; active compounds were isolated from three plant species. The results help explain traditional uses of these plants for wound healing and infections.

PubMed

Antimicrobial properties of alkaloids from Xanthorhiza simplicissima.

1994

Journal of pharmaceutical sciences

Okunade AL, Hufford CD, Richardson MD, Peterson JR, Clark AM

Plain English
Extracts of Xanthorhiza simplicissima showed activity against fungal and bacterial pathogens associated with AIDS, and the active compounds — including the well-known alkaloid berberine and a newly identified related alkaloid — were isolated. The new alkaloid, puntarenine, also showed activity against a skin-infecting fungus and yeast. The study documents antimicrobial compounds from this plant for the first time.

PubMed

Antimicrobial compounds from Petalostemum purpureum.

1993

Journal of natural products

Hufford CD, Jia Y, Croom EM, Muhammed I, Okunade AL +2 more

Plain English
Extracts from Petalostemum purpureum showed antimicrobial activity, leading to the isolation and structural characterization of the active compound, petalostemumol, confirmed by X-ray crystallography. Several chemical derivatives were also prepared and described. The study provides the chemical basis for the plant's antimicrobial properties.

PubMed

Estragole: an acute toxic principle from the volatile oil of the leaves of Clausena anisata.

1987

Journal of natural products

Okunade AL, Olaifa JI

PubMed

Publication data sourced from PubMed . Plain-English summaries generated by AI. Not medical advice.