The conversion of the prion protein (PrPC) into prions plays a key
role in transmissible spongiform encephalopathies. Despite the importance for
pathogenesis, the mechanism of prion formation has escaped detailed characterization
due to the insoluble nature of prions. PrPC interacts with copper
through octarepeat and non-octarepeat binding sites. Copper coordination to the
non-octarepeat region has garnered interest due to the possibility that this
interaction may impact prion conversion. We used X-ray absorption spectroscopy to
study copper coordination at pH 5.5 and 7.0 in human PrPC constructs,
either wild-type (WT) or carrying pathological mutations. We show that mutations and
pH cause modifications of copper coordination in the non-octarepeat region. In the
WT at pH 5.5, copper is anchored to His96 and His111, while at pH 7 it is
coordinated by His111. Pathological point mutations alter the copper coordination at
acidic conditions where the metal is anchored to His111. By using in vitro
approaches, cell-based and computational techniques, we propose a model whereby
PrPC coordinating copper with one His in the non-octarepeat
region converts to prions at acidic condition. Thus, the non-octarepeat region may
act as the long-sought-after prion switch, critical for disease onset and
propagation.