Superantigens are potent immunostimulatory molecules that activate bot
h T cells and antigen presenting cells. The consequences of superantig
en exposure range from induction of T cell proliferation, massive cyto
kine release and systemic shock to immunosuppression and tolerance. Su
perantigens have been directly implicated in a number of human conditi
ons including food poisoning and toxic shock. In addition, there is ev
idence to suggest that superantigens are involved in the initiation of
autoimmunity, and the immune dysfunction associated with HIV infectio
n. Because of their possible role in human disease, and their potentia
l use in immune therapy, it is important that we more completely under
stand the in vivo effects of superantigens.