Bacterial toxins can be divided into exotoxins and endotoxins. Exotoxins are toxic proteins released from bacterial cells and include cytolytic toxins, AB toxins, and superantigens. Cytolytic toxins damage cell membranes, AB toxins consist of subunits that damage cells, and superantigens trigger cytokine storms. Endotoxins are lipopolysaccharides in Gram-negative bacterial membranes that are released upon cell lysis and cause fever, shock, and organ failure by activating the host immune response. Bacterial toxins contribute to pathogenesis by directly damaging host cells or disabling the immune system.