Abstract:Mast cells play a multifaceted role in the tumor microenvironment, exhibiting promotive, inhibitory, or bidirectional regulatory effects on tumor progression. They promote tumor angiogenesis, tissue remodeling, and immune escape through the release of angiogenic factors, extracellular matrix remodeling enzymes, and immunosuppressive mediators. Conversely, mast cells can also recruit and activate immune cells, such as T cells and NK cells, to mediate anti-tumor responses. Therefore, mast cells represent potential targets for tumor immunotherapy. Current therapeutic strategies include targeting mast cell signaling pathways, stabilizing their degranulation, and regulating mediator release, thereby providing novel insights and approaches for tumor treatment.