“…SEB is a staphylococcal SAg that, by binding to the outer leaflet of major histocompatibility class II (MHC-II) molecules on antigen-presenting cells (APCs) and specific TCRVβ chain elements, induces the polyclonal activation of T cells [ 28 , 29 , 30 , 31 , 32 , 33 ] with high levels of inflammatory cytokines, including TNF-α, IL-2 and IFN-γ, which contribute to respiratory failure, multiorgan system breakdown, and death [ 32 , 33 ]. To induce optimal inflammatory cytokine production, in addition to TCR, SEB also binds to CD28 [ 34 , 35 , 36 , 37 , 38 ], an important costimulatory molecule [ 39 , 40 ] that, in human T cells, triggers TCR-independent inflammatory signals [ 41 , 42 , 43 , 44 , 45 ].…”