Superantigens are unique antigens that can activate a large proportion of T cells (up to 10%), leading to a massive immune response, in contrast to conventional antigens which activate only a small fraction. They bypass normal antigen processing and can directly bind to MHC class II molecules, triggering excessive cytokine production and adverse effects such as septic shock and diseases like staphylococcal toxic shock syndrome. Endogenous superantigens, which are encoded by certain viruses, may also play a role in various infections and autoimmune conditions, and treatment strategies include antimicrobial therapy and immunomodulatory drugs.