“…Not only does H. pylori have urease activity, enabling it to neutralize acid by an ammonia buffer system, it also produces an inhibitory toxin that binds H ϩ -K ϩ -ATPase (15). In addition, it produces N␣-methylhistamine (N␣-MH), a potent H 3 receptor agonist (1,3,5,11). Indeed, H 3 receptor agonists may inhibit gastric secretion by exerting an inhibitory effect on enterochromaffin-like (ECL) cells (41).…”