The mouse hybridoma ART 18 monoclonal antibody (mAb), which binds to the rat interleukin 2 (IL-2)receptor, was studied for its effect on heterotopic cardiac allograft survival m Two 'histoincompatible inbred rat strain combinations. Treatment with ART 18 mAb for 10 days after transplantation proloagediallograft survival in a dose-dependent fashion up to about 3 weeks (acute rejection normally occurs within 8 days). ART 18 mAb therapy started at 5 days after transplantation (the--time of major rejection activity) abrogated acute rejection dnd extended the survival to about 18 days. The dense cellular infiltrate noted histologically in acute rejection had virtually disappeared after ART 18 mAb treatment. Thus, IL-2 receptortargeted therapy can be successfully used to prevent and/or treat acute rejection. When spleen cells from antibody-treated recipients bearing well-functioning allografts were adoptively transferred to normal untreated rats that received cardiac; allografts 24 hr later, the survival of donor-specific, but not third-party, test cardiac allografts was prolonged significantly; this supports the idea that ART 18 mAb induced "sparing" of suppressor T lymphocytes. Combining infusion of ART 18 mAb with exogenous IL-2-rich conditioned medium produced the same effect as if the mAb alone had been administered, suggesting that an excess of IL-2 does not prevent binding of ART 18 mAb to IL-2 receptorbearing cells in vivo. These results support the important role of the IL-2 receptor,-bearing cells in the mechanism of allograft rejection; they may represent an important target for immunosuppression in clinical organ transplantation.Treatment of allograft rejection remains the major problem in clinical organ transplantation (1,2). Antirejection therapy has included high doses of steroids and polyclonal anti-lymphocyte globulins; more recently, cyclosporine and monoclonal anti-T-cell antibodies have been used. Unfortunately, these powerful immunosuppressive modalities have been only relatively successful and may produce serious complications, particularly life-threatening infections. Thus, although results of clinical transplantation have improved progressively, new strategies are still needed to obtain the elusive goal of donor-specific immunosuppression and "tolerance" by the host toward a foreign graft.Although the pivotal role of sensitized T lymphocytes in graft rejection has been long appreciated, the complex interplay among functionally defined cell phenotypes, distinctive surface protein markers expressed by these cells, and cytokines elaborated by them are not fully defined (3, 4).Helper-T-cell (Th)-derived interleukin 2 (IL-2) is the main cytotrophic factor for immunocompetent T lymphocytes (5). (9). The mouse ART 18 monoclonal antibody (ART 18 mAb), which reacts primarily with rat lymphoblasts, defines the rat IL-2 receptor (10-12). This antibody inhibits adsorption of IL-2 by IL-2 receptor-positive cells, thereby blocking IL-2-dependent T-lymphocyte proliferation. We have utilized ART 18 mA...