The staphylococcal enterotoxin-like toxins (SETs) are a family of proteins encoded within the Staphylococcus aureus genome that were identified by their similarity to the well described bacterial superantigens. The first crystal structure of a member of the SET family, SET3, has been determined to 1.9 Å (R ؍ 0.205, R free ؍ 0.240) and reveals a fold characteristic of the superantigen family but with significant differences. The SET proteins are secreted at varying levels by staphylococcal isolates, and seroconversion studies of normal individuals indicate that they are strongly antigenic to humans. Recombinant SETs do not exhibit any of the properties expected of superantigens such as major histocompatibility complex class II binding or broad Tcell activation, suggesting they have an entirely different function. The fact that the whole gene family is clustered within the pathogenicity island SaIn2 of the S. aureus genome suggests that they are involved in host/ pathogen interactions.The bacterial superantigen (SAg) 1 family is a large protein family exclusive to three pathogenic species: Staphylococcus aureus, Streptococcus pyogenes, and Streptococcus equi. The former two organisms are opportunistic human pathogens, and the latter is a pathogen of horses. Members of this family of proteins have been implicated in a range of human diseases, including staphylococcal food poisoning, scarlet fever, toxic shock, rheumatoid arthritis, and secondary HIV infection (1). S. equi is the causative agent of strangles in horses (2). Superantigens function by immune modulation. They cross-link major histocompatibility complex class II (MHC-II) and T-cell receptor (TCR) molecules, causing nonspecific and disproportionate T-cell proliferation and cytokine release (3). This gives rise to symptoms characteristic of fever and toxic shock. As a result of their close association with serious human pathologies, superantigens have been the subject of intense research over the last decade during which several reviews have been published (3-5).The identification of a staphylococcal gene cluster (6) and the determination of the complete genome sequence of S. aureus (7) have revealed a family of genes with similarity to superantigens from S. aureus. These were first described by Williams and colleagues (6) as a cluster of five related genes in which the protein products were reported to stimulate the production of interleukin-1, interleukin-6, and tumor necrosis factor ␣ from human peripheral blood mononuclear cells. The complete genome sequences for two strains of S. aureus subsequently showed that this cluster contains a total of 10 genes in one strain and 9 in the second strain, with these genes related by sequence identities of 36 -67%. The SET gene cluster represents half of a pathogenicity island, SaPIn2, shown in Fig. 1. Downstream (3Ј) to the SET gene cluster is a set of nine lpl genes that contain lipoprotein attachment sites and are thought to code for pathogenic proteins (7). The pathogenicity island is flanked at the 5Ј en...