The aim of this dissertation is to increase the understanding of how the cerebral vasculature (CV) becomes dysregulated in neurological disease, with a focus on the blood-brain barrier (BBB). I begin this dissertation with a literature review on the topics of the BBB in health and disease, the complex pathology of sporadic Alzheimer’s disease (AD), the importance of lipids in neuroinflammatory contexts such as AD, evidence of CV dysfunction in AD, and a brief overview of the key findings of my dissertation research establishing a connection between these topics. A large body of literature implicates CV dysfunction, including avascularity, reduced cerebral blood flow (CBF), hemorrhage, and BBB permeability, as a common feature of AD pathology; however, the molecular nature of this dysfunction had never been explored. To address this knowledge gap, I employed a multi-omic approach, leveraging both proteomics and lipidomics, to identify the molecular changes to the CV in post-mortem sporadic AD patients. This multi-omic strategy revealed a loss of sphingolipid (SL) and ceramide (CER) biosynthetic machinery at the protein level, and a distinct loss of CERs at the lipid level. To understand the functional importance of these changes to the CV, I used mouse genetics to conditionally inhibit SL biosynthesis specifically in endothelial cells (ECs), the BBB-containing cells lining the lumen of the CV. In doing so, I found that loss of EC SL biosynthesis promotes BBB permeability in healthy adult mice and inhibits angiogenesis capacity promoting hemorrhage in response to a hypoxic environment; all of which have been shown to occur in AD patients. In this process, I noticed a fatty acid (FA) elongase enzyme, Elovl7, to be downregulated in the AD CV at the protein and transcript level. Further, I found that Elovl7 is uniquely expressed in brain ECs in both humans and mice and becomes dysregulated in several mouse models of neurological disease. To clarify the role of Elovl7 in brain ECs, I used mouse genetics to conditionally delete Elovl7 from brain ECs of adult mice. In doing so, I discovered that Elovl7 generates phosphatidylcholines (PCs) and lyso-PCs (LPCs) for the CV, and its absence results in decreased levels of docosapentaenoic acid (DPA), an anti-inflammatory FA, in the brain. When confronted with a systemic inflammatory stimulus, loss of Elovl7 exacerbated hemorrhage and drove persistent reactivity in astrocytes and microglia. Together, these findings show that lipids synthesized within brain ECs are important in maintaining CV integrity and modulating neuroinflammation. This body of work reveals multiple novel targetable therapeutic avenues to fortify the brain vasculature across a broad spectrum of neurological disorders.