Endothelial dysfunction leads to lethal vascular complications in diabetes and related metabolic disorders. Here, we demonstrate that de novo lipogenesis, an insulin-dependent process driven by the multifunctional enzyme fatty-acid synthase (FAS), maintains endothelial function by targeting endothelial nitric-oxide synthase (eNOS) to the plasma membrane. In mice with endothelial inactivation of FAS (FASTie mice), eNOS membrane content and activity were decreased. eNOS and FAS were physically associated; eNOS palmitoylation was decreased in FAS-deficient cells, and incorporation of labeled carbon into eNOS-associated palmitate was FAS-dependent. FASTie mice manifested a proinflammatory state reflected as increases in vascular permeability, endothelial inflammatory markers, leukocyte migration, and susceptibility to LPS-induced death that was reversed with an NO donor. FAS-deficient endothelial cells showed deficient migratory capacity, and angiogenesis was decreased in FASTie mice subjected to hindlimb ischemia. Insulin induced FAS in endothelial cells freshly isolated from humans, and eNOS palmitoylation was decreased in mice with insulin-deficient or insulin-resistant diabetes. Thus, disrupting eNOS bioavailability through impaired lipogenesis identifies a novel mechanism coordinating nutritional status and tissue repair that may contribute to diabetic vascular disease.Damage to blood vessels is inextricably linked with diabetes. Microvascular disease causes visual loss, renal failure, and neuropathy, and macrovascular disease (atherosclerotic coronary disease, stroke, and peripheral arterial disease) causes premature death. Macro-and microvascular complications characterize both type 1 (insulin-deficient) and type 2 (insulin-resistant with hyperinsulinemia) diabetes. Hyperglycemia is a biomarker of blood vessel disease (1), and glucose lowering delays microvascular complications (2, 3), but this therapy does not prevent progression of established microvascular (4) or macrovascular disease (5, 6). In addition to improving glycemia, optimal approaches to complications may require manipulating processes that are mostly obscure.One such process is endothelial lipid metabolism. The endothelium controls tissue access from the circulation and regulates vascular functions, including inflammation and angiogenesis. Endothelial dysfunction, largely due to defects in eNOS, 3 is characteristic of diabetes and probably promotes vascular disease (7,8). Circulating fatty acids interfere with eNOS and increase inflammation (9, 10), and insulin resistance appears to have similar effects by increasing fatty acid oxidation (11), but little is known about how fuels are partitioned inside endothelial cells. A critical pathway for fuel flow is de novo lipogenesis, the generation of fatty acids from simple sugars, which requires FAS (12, 13). One might predict that de novo lipogenesis would be irrelevant to endothelial cells, which are continually bathed in fatty acids, the product of the FAS reaction.Here, we report that endothelial...