The cellular form of the prion protein (PrP C ) is a highly conserved glycoprotein mostly expressed in the central and peripheral nervous systems by different cell types in mammals. A misfolded, pathogenic isoform, denoted as prion, is related to a class of neurodegenerative diseases known as transmissible spongiform encephalopathy. PrP C function has not been unequivocally clarified, and it is rather defined as a pleiotropic protein likely acting as a dynamic cell surface scaffolding protein for the assembly of different signaling modules. Among the variety of PrP C protein interactors, the neuronal cell adhesion molecule (NCAM) has been studied in vivo, but the structural basis of this functional interaction is still a matter of debate. Here we focused on the structural determinants responsible for human PrP C (HuPrP) and NCAM interaction using stimulated emission depletion (STED) nanoscopy, SPR, and NMR spectroscopy approaches. PrP C co-localizes with NCAM in mouse hippocampal neurons, and this interaction is mainly mediated by the intrinsically disordered PrP C N-terminal tail, which binds with high affinity to the NCAM fibronectin type-3 domain. NMR structural investigations revealed surface-interacting epitopes governing the interaction between HuPrP N terminus and the second module of the NCAM fibronectin type-3 domain. Our data provided molecular details about the interaction between HuPrP and the NCAM fibronectin domain, and revealed a new role of PrP C N terminus as a dynamic and functional element responsible for protein-protein interaction.A misfolded form of the host-encoded cellular prion protein (PrP C ) 3 is the causative agent for a class of human and animal neurodegenerative diseases denoted as transmissible spongiform encephalopathies. PrP C is a sialoglycoprotein, tethered to the outer leaflet of the plasma membrane by a glycosylphosphatidylinositol (GPI) anchor. Soluble, natively ␣-helix-folded monomers of PrP C may adopt an aggregated protease-resistant conformation known as PrP Sc (1). The mature human PrP C (HuPrP) is composed of 209 residues including a largely unstructured N-terminal part and a globular ␣-helix-rich C-terminal domain (2). Conversely, PrP Sc is -sheet-enriched, partially protease-resistant, insoluble, and multimeric (3). The insoluble nature of PrP Sc and its propensity to aggregate have hampered the use of high-resolution techniques, and therefore different PrP Sc models currently exist (4). Despite the fact that PrP C is highly conserved among different species, its physiological function has not been fully clarified. Defining PrP C function remains one of the main challenges in prion biology, and it is also an absolute requirement for understanding prion diseases. It is now being accepted that PrP C is a pivotal molecule with diverse roles in brain development and in neural plasticity in the adult (5-8). Proposed PrP C functions range from neuronal growth and differentiation (9), synaptic plasticity (10, 11), cell signaling (12, * This work was supported by the EC th...