RT Journal Article T1 The Impact of A1-and A2 β-Casein on Health Outcomes: A Comprehensive Review of Evidence from Human Studies A1 González Rodríguez, Nerea A1 Vázquez Liz, Natalia A1 Rodríguez Sampedro, Ana A1 Regal López, Patricia A1 Fente Sampayo, Cristina Asunción A1 Lamas Freire, Alexandre K1 β-casein K1 A2 milk K1 Health K1 Immune function K1 Human studies K1 Children K1 Middleaged adults K1 Athletes K1 Scoping review AB The digestion of A1 β-casein present in conventional milk releases β-casomorphin-7 (βCM-7), a bioactive peptide with potential implications for gastrointestinal and neurological health. A scoping review was performed to respond to the following research question: What are the health effects of consuming milk containing the A1 β-casein variant compared to the exclusive consumption of the A2 variant in humans? The evidence collected in this review of human studies with different populations (i.e., children, middle-aged adults, athletes) suggests that the consumption of milk containing A1 β-casein may negatively influence gut health by altering microbial composition, reducing intestinal motility, and increasing colonic fermentation, leading to elevated gas production and altered short-chain fatty acid (SCFA) profiles. The release of βCM-7 upon digestion can also compromise intestinal-barrier integrity, which may exacerbate symptoms of lactose intolerance, irritable bowel syndrome (IBS), or other allergy-related sensitivities. Its ability to cross the blood–brain barrier raises concerns about potential neurological effects. In contrast, milk containing exclusively A2 β-casein is associated with improved gastrointestinal outcomes, including the enhanced abundance of beneficial bacteria such as Bifidobacterium spp. and reduced inflammatory markers. PB MDPI SN 2076-3417 YR 2025 FD 2025-06-27 LK https://hdl.handle.net/10347/43442 UL https://hdl.handle.net/10347/43442 LA eng DS Minerva RD 24 abr 2026