A major focus in prion structural biology studies is unraveling the molecular mechanism leading to the structural conversion of PrPC to its pathological form, PrPSc. In our recent studies, we attempted to understand the early events of the conformational changes leading to PrPSc using as investigative tools point mutations clustered in the open reading frame of the human PrP gene and linked to genetic forms of human prion diseases. In the work presented here, we investigate the effect of pH on the nuclear magnetic resonance (NMR) structure of recombinant human PrP (HuPrP) carrying the pathological V210I mutation responsible for familial Creutzfeldt-Jakob disease. The NMR structure of HuPrP(V210I) determined at pH 7.2 shows the same overall fold as the previously determined structure of HuPrP(V210I) at pH 5.5. It consists of a disordered N-terminal tail (residues 90–124) and a globular C-terminal domain (residues 125–231) comprising three α-helices and a short antiparallel β-sheet. Detailed comparison of three-dimensional structures of HuPrP(V210I) at pH 7.2 and 5.5 revealed significant local structural differences, with the most prominent pH-related structural variations clustered in the α2–α3 interhelical region, at the interface of the β1–α1 loop, in helices α1 and α3, and in the β2–α2 loop region. The detailed analysis of interactions among secondary structure elements suggests a higher degree of structural ordering of HuPrP(V210I) under neutral-pH conditions, thus implying that spontaneous misfolding of PrPC may occur under acidic-pH conditions in endosomal compartments.