Abstract-Extracellular adenosine production by the glycosyl-phosphatidyl-inositol-anchored Ecto-5Ј-Nucleotidase plays an important role in the defense against hypoxia, particularly in the intravascular space. The present study was designed in order to elucidate the mechanisms underlying hypoxia-induced stimulation of Ecto-5Ј-Nucleotidase in endothelial cells. For this purpose, aortic endothelial cells (SVARECs) were submitted to hypoxic gas mixture. Hypoxia (0% O 2 for 18 hours) induced a 2-fold increase of Ecto-5Ј-Nucleotidase activity (V max 19.78Ϯ0.53 versus 8.82Ϯ1.12 nmol/mg protein per min), whereas mRNA abundance and total amount of the protein were unmodified. By contrast, hypoxia enhanced cell surface expression of Ecto-5Ј-Nucleotidase, as evidenced both by biotinylation and immunostaining. This effect was accompanied by a decrease of Ecto-5Ј-Nucleotidase endocytosis, without modification of Ecto-5Ј-Nucleotidase association with detergent-resistant membranes. Finally, whereas cholesterol content was unmodified, hypoxia induced a time-dependent increase of saturated fatty acids in SVARECs, which was reversed by reoxygenation, in parallel to Ecto-5Ј-Nucleotidase stimulation. Incubation of normoxic cells with palmitic acid enhanced Ecto-5Ј-Nucleotidase activity and cell surface expression. In conclusion, hypoxia enhances cell surface expression of Ecto-5Ј-Nucleotidase in endothelial cells. This effect could be supported by a decrease of Ecto-5Ј-Nucleotidase endocytosis through modification of plasma membrane fatty acid composition.