Mongolian gerbils infected with Helicobacter pylori (H. pylori) develop heterotopic proliferative glands (HPGs) in the glandular stomach submucosa. To investigate the effects of H. pylori eradication on cell turnover in HPGs, three antibiotics, lansoprazole, amoxicillin and clarithromycin, were administered at 50 or 75 weeks after inoculation of H. pylori, and the stomachs were excised for histological examination at 1, 2, 4, 8 or 25 weeks thereafter. The HPGs were classified into gastric type (G-type) and others (GI + + + +I-type), which included both pure intestinal (I-type) and gastric-and-intestinal mixed type (GI-type). Apoptosis and cell proliferation were evaluated by means of TUNEL assay and BrdU labeling, respectively. At 8 weeks post-eradication, apoptotic indices were significantly increased in the eradication group (G-type: 2.5%; GI + + + +I-type: 7.2%) compared to the non-eradication group (G-type: 0.6%; GI + + + +I-type: 2.1%: P < < < <0.01), while BrdU labeling indices were significantly decreased (G-type: 1.9%; GI + + + +I-type: 6.8% as compared with 4.3% and 13.2%, respectively, P < < < <0.01 for both). At 25 weeks, the apoptotic indices were similarly higher [G-type: 0.4 (eradication group) vs. 0.2% (non-eradication group); GI + + + +I-type: 5.8 vs. 1.1%, both P < < < <0.01], and the BrdU labeling indices (G-type: 0.8 vs. 2.2%, P < < < <0.01; GI + + + +I-type: 5.1 vs. 11%, P < < < <0.05) continued to be lower in HPGs. elicobacter pylori (H. pylori) infection has been implicated as a major cause of chronic gastritis and a strong risk factor for gastric adenocarcinoma. Epidemiological and experimental studies have demonstrated associations between H. pylori infection and the development of chronic superficial gastritis, atrophic gastritis and intestinal metaplasia.