Prion diseases are associated with the misfolding of the endogenously expressed prion protein (designated PrP C ) into an abnormal isoform (PrP Sc ) that has infectious properties. The hydrophobic domain of PrP C is highly conserved and contains a series of glycine residues that show perfect conservation among all species, strongly suggesting it has functional and evolutionary significance. These glycine residues appear to form repeats of the GXXXG protein-protein interaction motif (two glycines separated by any three residues); the retention of these residues is significant and presumably relates to the functionality of PrP C . Mutagenesis studies demonstrate that minor alterations to this highly conserved region of PrP C drastically affect the ability of cells to uptake and replicate prion infection in both cell and animal bioassay. The localization and processing of mutant PrP C are not affected, although in vitro and in vivo studies demonstrate that this region is not essential for interaction with PrP Sc , suggesting these residues provide conformational flexibility. These data suggest that this region of PrP C is critical in the misfolding process and could serve as a novel, species-independent target for prion disease therapeutics.