“…A virus population with pancreatic islet tropism could therefore emerge from a virus population replicating in the mucosa of the intestine. It has been shown previously that even small amino acid changes in the viral capsid proteins may change drastically viral cell and tissue tropism, receptor binding, cytopathogenicity, immunogenicity, and pathogenesis in mouse models [Caggana et al, 1993;Colston and Racaniello, 1995;Ramsingh and Collins, 1995;Knowlton et al, 1996;Ramsingh et al, 1997;Pelletier et al, 1998;Halim and Ramsingh, 2000;Schmidtke et al, 2000;Al-Hello et al, 2005;Polacek et al, 2005;Kim and Racaniello, 2007;Arita et al, 2008;Chua et al, 2008;Al-Hello et al, 2009;Gullberg et al, 2010;Cifuente et al, 2011;Pan et al, 2011].…”