Antigen
Antigens are "targeted" by antibodies. Each antibody is specifically produced by the immune system to match an antigen after cells in the immune system come into "contact" with it; this allows a precise identification or matching of the antigen and the initiation of a tailored response. The antibody is said to "match" the antigen in the sense that it can bind to it due to an adaptation in a region of the antibody; because of this, many different antibodies are produced, each able to bind a different antigen while sharing the same basic structure. In most cases, an adapted antibody can only react to and bind one specific antigen; in some instances, however, antibodies may cross-react and bind more than one antigen.
Anti-neutrophil cytoplasmic antibody
Microbial superantigens are molecules expressed by bacteria and other microorganisms that have the power to stimulate a strong immune response by activation of T-cells. These molecules generally have regions that resemble self-antigens that promote a residual autoimmune response – this is the theory of molecular mimicry. Staphylococcal and streptococcal superantigens have been characterised in autoimmune diseases – the classical example in post group A streptococcal rheumatic heart disease, where there is similarity between M proteins of "Streptococcus pyogenes" to cardiac myosin and laminin. It has also been shown that up to 70% of patients with granulomatosis with polyangiitis (previously known as Wegener's granulomatosis) are chronic nasal carriers of "Staphylococcus aureus", with carriers having an eight times increased risk of relapse. This would therefore be considered a type II hypersensitivity reaction.