The body uses antibodies to recognize proteins, and modified proteins, eg glycosylated proteins. And less commonly non-proteins.
The test described gives a red spot because the toxin is toxic. It does the job whether or not the immune system responds to it. The control only
becomes red when the immune system recognizes the inactive toxin, because although inactive, the immune system doesn't see the difference between the
active and inactive.
There are two types of immunities, innate and adaptive, the one we are talking about here is the adaptive.
You will probably find this interesting.
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