Proteins, secreted by certain gram-positive or gram-negative Bacteria; generally heat-labile
Exotoxins
Specific; usually bind to specific cell receptors or structures; either cytotoxin, enterotoxin, or neurotoxin with defined, specific action on cells or tissues
Often highly toxic in picogram to microgram quantities, sometimes fatal
Highly immunogenic; stimulate the production of neutralizing antibody (antitoxin)
Heat or chemical treatment may destroy toxicity, but treated toxin (toxoid) remains immunogenic
Nonpyrogenic, do not produce fever in the host
Exotoxins are often encoded on extrachromosomal elements or lysogenic bacteriophages