There is some unproven evidence that the consumption of the Al and similar
variants of the milk protein beta -casein can lead to the development of in
sulin-dependent diabetes mellitus (IDDM) and heart disease. In this paper w
e review the basis of such claims. Although claims have been made that both
IDDM and heart disease are highly correlated with the per capita consumpti
on of beta -casein Al, the data used to support these claims is based on a
number of approximations and assumptions, and contains a high degree of unc
ertainty. In the case of IDDM, some animal feeding experiments have shown a
n effect of beta -casein variants on disease development, whereas other exp
eriments have been unable to demonstrate such an effect. Although there is
currently not enough evidence to conclude that the consumption of beta -cas
ein Al variants promotes the development of specific diseases or to justify
eliminating beta -casein Al variant producing cows from the milk supply, w
e believe that it is prudent to continue to perform research in this area.