Mast cells are traditionally known for mediating allergic reactions. I
n addition, these cells have been implicated in the pathogenesis of a
variety of clinical conditions such as atopic and contact dermatitis,
bullous pemphigoid, fibrotic lung disease, neurofibromatosis, psoriasi
s, scleroderma, rheumatoid arthritis, interstitial cystitis, ulcerativ
e colitis, and Crohn's disease, but their role in host defense was an
enigma until recently. Owing to the strategic location of mast cells a
t the host environment interface, their role in bacterial infections h
as been studied by a number of investigators. Latest reports show that
mast cells have an ability to modulate the host's innate immune respo
nse to infectious agents. This review discusses the clinical implicati
ons of mast cell-bacteria interactions.