The cholinergic septohippocampal system plays an important role in spa
tial learning and memory functions. Transections of the septohippocamp
al pathway have been shown to result in a near complete loss of cholin
ergic innervation in the hippocampus and induce severe spatial memory
impairments. In this article, we have reviewed the studies which demon
strate the ability of intrahippocampal septal grafts to reinnervate th
e hippocampal formation and ameliorate spatial learning and memory def
icits. Neuroanatomical studies suggest that grafts of cholinergic tiss
ue can innervate the host hippocampal formation in a pattern that mimi
cs that of the normal septohippocampal pathway. This innervation, in t
urn, is associated with the formation of graft-to-host synaptic connec
tions. Neurochemical studies reveal that intrahippocampal grafts of se
ptal cells can restore choline acetyltransferase activity, acetylcholi
ne synthesis, and high affinity choline uptake in presynaptic terminal
s of grafted neurons. In addition, these grafts can normalize the upre
gulation of cholinergic muscarinic receptors seen postsynaptically in
the hippocampus following lesions of the septohippocampal pathway. The
functional nature of these grafts is also substantiated by electrophy
siological recordings which demonstrate stimulus-evoked graft-to-host
synaptic transmission as well as the reinstatement of EEG activity typ
ical of septohippocampal connectivity. In addition to graft-to-host co
nnections, behavioral and neurochemical studies also provide evidence
for host-to-graft connections that can regulate the activity of grafte
d cholinergic neurons during the performance of specific behavioral ta
sks requiring spatial memory function. Together, these studies suggest
that grafts of cholinergic neurons from the medial septal nucleus can
become anatomically and functionally incorporated into the circuitry
of the host hippocampal formation.