[1] Tokyo Med Univ, Kasumigaura Hosp, Dept Internal Med, Div Gastroenterol & Hepatol, Ami, Ibaraki 3000395, Japan
[2] Tokyo Med Univ, Dept Dev Community Med, Ami, Ibaraki 3000395, Japan
[3] Tokyo Med Univ, Kasumigaura Hosp, Ctr Collaborat Res, Ami, Ibaraki 3000395, Japan
[4] Ibaraki Cent Hosp, Kasama, Ibaraki, Japan
[5] Unno Clin, Moriya, Japan
[6] George Washington Univ, Dept Biochem & Mol Biol, Washington, DC 20052 USA