Pathological tau alters head direction signaling and induces spatial disorientation.

Spatial disorientation is emerging as an early cognitive biomarker of dementia, but the underlying neural mechanisms remain undefined. The anterodorsal nucleus of the thalamus (ADn) exhibits early and selective vulnerability to pathological misfolded forms of tau, a major hallmark of Alzheimer's disease. As the ADn contains a high density of head direction (HD) cells, we hypothesized that ptau disrupts HD cell activity, promoting spatial disorientation. To test this, we virally expressed human mutant tau in the ADn of adult wild-type and C1ql2-Cre mice. ADn-tau mice were defined by phosphorylated and oligomeric forms of tau in ADn somata and axon terminals. During initial spatial learning, ADn-tau mice exhibited increased looping behavior, indicative of spatial disorientation. Using in vivo extracellular recordings, we found that ADn cells had reduced directionality, lower directional coherence, and altered burst firing. These findings suggest that early alterations in HD signaling are predictive of future cognitive decline.