The cellular prion protein (PrP C ) is a zinc-binding protein that contributes to the regulation of Zn 2þ and other divalent species of the central nervous system. Zn 2þ coordinates to the flexible, N-terminal repeat region of PrP C and drives a tertiary contact between this repeat region and a well-defined cleft of the C-terminal domain. The tertiary structure promoted by Zn 2þ is thought to regulate inherent PrP C toxicity. Despite the emerging consensus regarding the interaction between Zn 2þ and PrP C , there is little direct spectroscopic confirmation of the metal ion's coordination details. Here, we address this conceptual gap by using Cd 2þ as a surrogate for Zn 2þ . NMR finds that Cd 2þ binds exclusively to the His imidazole side chains of the repeat segment, with a dissociation constant of $1.2 mM, and promotes an N-terminal-C-terminal cis interaction very similar to that observed with Zn 2þ . Analysis of 113 Cd NMR spectra of PrP C , along with relevant control proteins and peptides, suggests that coordination of Cd 2þ in the full-length protein is consistent with a three-or four-His geometry. Examination of the mutation E199K in mouse PrP C (E200K in humans), responsible for inherited Creutzfeldt-Jakob disease, finds that the mutation lowers metal ion affinity and weakens the cis interaction. These findings not only provide deeper insight into PrP C metal ion coordination but they also suggest new perspectives on the role of familial mutations in prion disease.