In the last 10 years many of the superantigens of the microbial world
have been defined and the mechanisms of cellular interaction between l
ymphocytes and antigen presenting cells has been elucidated in great d
etail. The consequences of superantigen stimulation of the immune syst
em, though less well defined, can be considered in three separate stag
es: T-cell proliferation, apoptosis, and recovery. Understanding these
stages may explain why diverse superantigens may cause markedly diffe
rent clinical processes ranging from acute shock to chronic arthritis
and may form the basis for novel treatments of these diverse diseases.