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Article

Analysis of DNA methylation at birth and in childhood reveals changes associated with season of birth and latitude

Publicat a:Clinical Epigenetics. 15 (1): 148-148 - 2023-09-11 15(1), DOI: 10.1186/s13148-023-01542-5

Autors: Kadalayil, Latha; Alam, Md Zahangir; White, Cory Haley; Ghantous, Akram; Walton, Esther; Gruzieva, Olena; Merid, Simon Kebede; Kumar, Ashish; Roy, Ritu P; Solomon, Olivia; Huen, Karen; Eskenazi, Brenda; Rzehak, Peter; Grote, Veit; Langhendries, Jean-Paul; Verduci, Elvira; Ferre, Natalia; Gruszfeld, Darek; Gao, Lu; Guan, Weihua; Zeng, Xuehuo; Schisterman, Enrique F; Dou, John F; Bakulski, Kelly M; Feinberg, Jason I; Soomro, Munawar Hussain; Pesce, Giancarlo; Baiz, Nour; Isaevska, Elena; Plusquin, Michelle; Vafeiadi, Marina; Roumeliotaki, Theano; Langie, Sabine A S; Standaert, Arnout; Allard, Catherine; Perron, Patrice; Bouchard, Luigi; van Meel, Evelien R; Felix, Janine F; Jaddoe, Vincent W V; Yousefi, Paul D; Ramlau-Hansen, Cecilia H; Relton, Caroline L; Tobi, Elmar W; Starling, Anne P; Yang, Ivana V; Llambrich, Maria; Santorelli, Gillian; Lepeule, Johanna; Salas, Lucas A; Bustamante, Mariona; Ewart, Susan L; Zhang, Hongmei; Karmaus, Wilfried; Roeder, Stefan; Zenclussen, Ana Claudia; Jin, Jianping; Nystad, Wenche; Page, Christian M; Magnus, Maria; Jima, Dereje D; Hoyo, Cathrine; Maguire, Rachel L; Kvist, Tuomas; Czamara, Darina; Raikkonen, Katri; Gong, Tong; Ullemar, Vilhelmina; Rifas-Shiman, Sheryl L; Oken, Emily; Almqvist, Catarina; Karlsson, Robert; Lahti, Jari; Murphy, Susan K; Haberg, Siri E; London, Stephanie; Herberth, Gunda; Arshad, Hasan; Sunyer, Jordi; Grazuleviciene, Regina; Dabelea, Dana; Steegers-Theunissen, Regine P M; Nohr, Ellen A; Sorensen, Thorkild I A; Duijts, Liesbeth; Hivert, Marie-France; Nelen, Vera; Popovic, Maja; Kogevinas, Manolis; Nawrot, Tim S; Herceg, Zdenko; Annesi-Maesano, Isabella; Fallin, M Daniele; Yeung, Edwina; Breton, Carrie V; Koletzko, Berthold; Holland, Nina; Wiemels, Joseph L; Melen, Erik; Sharp, Gemma C; Silver, Matt J; Rezwan, Faisal, I; Holloway, John W

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2530 Meridian Pkwy,Suite 200, Durham, NC 27713 USA - Autor o coautor
Aarhus Univ, Dept Publ Hlth, Aarhus, Denmark - Autor o coautor
Aberystwyth Univ, Dept Comp Sci, Aberystwyth, Ceredigion, Wales - Autor o coautor
Bangladesh Univ Engn & Technol, Dept Comp Sci & Engn, Dhaka, Bangladesh - Autor o coautor
Bradford Inst Hlth Res, Bradford, W Yorkshire, England - Autor o coautor
Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, CPO Piemonte, Italy. - Autor o coautor
Center for Environmental Sciences, University of Hasselt, 3590, Diepenbeek, Belgium. - Autor o coautor
Centre de Recherche du Centre Hospitalier de l'Universite de Sherbrooke, Sherbrooke, Canada. - Autor o coautor
Centre for Occupational and Environmental Medicine, Region Stockholm, Sweden. - Autor o coautor
CHC, Liege, Belgium - Autor o coautor
CHC, St Vincent, Liège-Rocourt, Belgium. - Autor o coautor
Children's Environmental Health Laboratory, University of California, Berkeley, CA, USA. - Autor o coautor
Childrens Environm Hlth & Dis Prevent Res Ctr Dar, Lebanon, NH USA - Autor o coautor
Childrens Mem Hlth Inst, Neonatal Dept, Warsaw, Poland - Autor o coautor
CIBERESP, Madrid, Spain - Autor o coautor
Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK. - Autor o coautor
Clinical Department of Laboratory Medicine, Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Saguenay-Lac-Saint-Jean - Hôpital de Chicoutimi, Chicoutimi, Canada. - Autor o coautor
Computational Biology and Informatics Core, University of California, San Francisco, CA, 94143, USA. - Autor o coautor
Ctr Hosp Univ Sherbrooke, Ctr Rech, Sherbrooke, PQ, Canada - Autor o coautor
Ctr Occupat & Environm Med, Region Stockholm, Sweden - Autor o coautor
Dartmouth Coll, Geisel Sch Med, Ctr Mol Epidemiol, Lebanon, NH USA - Autor o coautor
Dartmouth Coll, Geisel Sch Med, Dept Epidemiol, Lebanon, NH USA - Autor o coautor
David Hide Asthma & Allergy Res Ctr, Newport, Wight, England - Autor o coautor
Department of Biochemistry and Functional Genomics, Universite de Sherbrooke, Sherbrooke, Canada. - Autor o coautor
Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Drive, Philadelphia, PA, 19104, USA. - Autor o coautor
Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden. - Autor o coautor
Department of Community Medicine and Public Health, SMBB Medical University, Larkana, Pakistan. - Autor o coautor
Department of Computer Science and Engineering, Bangladesh University of Engineering and Technology, Dhaka, Bangladesh. - Autor o coautor
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, USA. - Autor o coautor
Department of Medicine, Universite de Sherbrooke, Sherbrooke, Canada. - Autor o coautor
Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. - Autor o coautor
Department of Pediatrics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. - Autor o coautor
Department of Pediatrics, Vittore Buzzi Children Hospital, University of Milan, Milan, Italy. - Autor o coautor
Department of Pharmacology and Toxicology, School for Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, Limburg, The Netherlands. - Autor o coautor
Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA. - Autor o coautor
Department of Psychology, University of Bath, Bath, UK. - Autor o coautor
Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Greece. - Autor o coautor
Division of Biostatistics, School of Public Health, University of Minnesota, A460 Mayo Building, MMC 303, 420 Delaware St. SE, Minneapolis, MN, 55455, USA. - Autor o coautor
Division of Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, Ludwig-Maximilians Universität München (LMU), Munich, Germany. - Autor o coautor
Division of Respiratory Medicine and Allergology, Department of Pediatrics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. - Autor o coautor
Duke Univ, Med Ctr, Dept Obstet & Gynaecol, Durham, NC USA - Autor o coautor
Epigenomics and Mechanisms Branch, International Agency for Research on Cancer, Lyon, France. - Autor o coautor
Erasmus MC, Univ Med Ctr Rotterdam, Dept Pediat, Rotterdam, Netherlands - Autor o coautor
Erasmus MC, Univ Med Ctr Rotterdam, Div Neonatol, Dept Pediat, Rotterdam, Netherlands - Autor o coautor
Erasmus MC, Univ Med Ctr Rotterdam, Div Resp Med & Allergol, Dept Pediat, Rotterdam, Netherlands - Autor o coautor
Erasmus MC, Univ Med Ctr Rotterdam, Generat R Study Grp, Rotterdam, Netherlands - Autor o coautor
Erasmus MC, Univ Med Ctr, Dept Obstet & Gynecol, Periconcept Epidemiol, POB 2040, NL-3000 CA Rotterdam, Netherlands - Autor o coautor
Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Epidemiol Branch, Div Populat Hlth Res, Div Intramural Res, 6710B Rockledge Dr,MSC 7004, Bethesda, MD USA - Autor o coautor
Faculty of Sciences, Hasselt University, Diepenbeek, Belgium. - Autor o coautor
Flemish Inst Technol Res VITO, Unit Hlth, Mol, Belgium - Autor o coautor
Gambia London Sch Hyg & Trop Med, Med Res Council Unit, Fajara, Gambia - Autor o coautor
Gambia London Sch Hyg & Trop Med, Med Res Council Unit, London, England - Autor o coautor
Glotech Inc, Rockville, MD USA - Autor o coautor
Glotech, Inc., Rockville, MD, USA. - Autor o coautor
Harvard Med Sch, Dept Populat Med, Harvard Pilgrim Hlth Care Inst, Boston, MA USA - Autor o coautor
Hasselt Univ, Fac Sci, Diepenbeek, Belgium - Autor o coautor
Helen Diller Family Comprehensive Cancer Center University of California, San Francisco, CA, 94143, USA. - Autor o coautor
Hop Chicoutimi, Dept Clin Lab Med, Ctr Integre Univ Sante & Serv Sociaux CIUSSS Sagu, Chicoutimi, PQ, Canada - Autor o coautor
Human Development and Health, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK. - Autor o coautor
INSERM, Inst Desbrest Sante Publ IDESP, Montpellier, France - Autor o coautor
Inst Global Hlth ISGlobal, Barcelona, Spain - Autor o coautor
Institut Desbrest de Santé Publique (IDESP), INSERM and Montpellier University, Montpellier, France. - Autor o coautor
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. - Autor o coautor
Int Agcy Res Canc, Epigen & Mech Branch, Lyon, France - Autor o coautor
Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USA - Autor o coautor
Johns Hopkins Univ, Wendy Klag Ctr Autism & Dev Disabil, Baltimore, MD USA - Autor o coautor
Karolinska Inst, Dept Clin Sci & Educ, Sodersjukhuset, Stockholm, Sweden - Autor o coautor
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden - Autor o coautor
Karolinska Inst, Inst Environm Med, Stockholm, Sweden - Autor o coautor
Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Pediat Allergy & Pulmonol Unit, Stockholm, Sweden - Autor o coautor
Leuven Univ, Dept Publ Hlth & Primary Care, Louvain, Belgium - Autor o coautor
Ludwig Maximilians Univ Munchen LMU, Dr von Hauner Childrens Hosp, Div Metab & Nutr Med, Munich, Germany - Autor o coautor
Maastricht Univ, Sch Nutr & Translat Res Metab NUTRIM, Dept Pharmacol & Toxicol, Limburg, Netherlands - Autor o coautor
Massachusetts Gen Hosp, Diabet Unit, Boston, MA USA - Autor o coautor
Max Planck Inst Psychiat, Dept Translat Res Psychiat, D-80804 Munich, Germany - Autor o coautor
Merck Exploratory Science Center in Cambridge MA, Merck Research Laboratories, Cambridge, MA, 02141, USA. - Autor o coautor
Merck Res Labs, Merck Exploratory Sci Ctr Cambridge MA, Cambridge, MA 02141 USA - Autor o coautor
Michigan State Univ, Dept Large Anim Clin Sci, Coll Vet Med, E Lansing, MI USA - Autor o coautor
Montpellier Univ, Montpellier, France - Autor o coautor
Natl Jewish Hlth, Ctr Genes Environm & Hlth, Denver, CO USA - Autor o coautor
Neonatal Department, Children's Memorial Health Institute, Warsaw, Poland. - Autor o coautor
NIEHS, Dept Hlth & Human Serv, NIH, Res Triangle Pk, NC 27709 USA - Autor o coautor
North Carolina State Univ, Bioinformat Res Ctr, Raleigh, NC USA - Autor o coautor
North Carolina State Univ, Ctr Human Hlth & Environm, Raleigh, NC USA - Autor o coautor
North Carolina State Univ, Dept Biol Sci, Raleigh, NC USA - Autor o coautor
Norwegian Inst Publ Hlth, Ctr Fertil & Hlth, Oslo, Norway - Autor o coautor
Norwegian Inst Publ Hlth, Dept Chron Dis & Ageing, Oslo, Norway - Autor o coautor
Odense Univ Hosp, Dept Clin Res, Odense, Denmark - Autor o coautor
Pediatric Nutrition and Human Development Research Unit, Universitat Rovira i Virgili, IISPV, Reus, Spain. - Autor o coautor
Prov Inst Hyg, Antwerp, Belgium - Autor o coautor
SMBB Med Univ, Dept Community Med & Publ Hlth, Larkana, Pakistan - Autor o coautor
Soder Sjukhuset, Sachs Children & Youth Hosp, Stockholm, Sweden - Autor o coautor
Sorbonne Univ, Paris 12, France - Autor o coautor
Sorbonne Université and INSERM, Epidemiology of Allergic and Respiratory Diseases Department, Pierre Louis Institute of Epidemiology and Public Health (IPLESP UMRS 1136), Saint-Antoine Medical School, Paris Cedex 12, France. - Autor o coautor
Southampton Gen Hosp, NIHR Southampton Biomed Res Ctr, Southampton, Hants, England - Autor o coautor
St Antoine Med Sch, Epidemiol Allerg & Resp Dis Dept, Pierre Louis Inst Epidemiol & Publ Hlth IPLESP, INSERM,UMRS 1136, Paris 12, France - Autor o coautor
The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. - Autor o coautor
UFZ Helmholtz Ctr Environm Res, Dept Environm Immunol, Leipzig, Germany - Autor o coautor
Unit Health, Flemish Institute for Technological Research (VITO), Mol, Belgium. - Autor o coautor
Univ Bath, Dept Psychol, Bath, Avon, England - Autor o coautor
Univ Bristol, Med Res Council Integrat Epidemiol Unit, Bristol, Avon, England - Autor o coautor
Univ Bristol, Populat Hlth Sci, Bristol Med Sch, Bristol, Avon, England - Autor o coautor
Univ Calif Berkeley, Childrens Environm Hlth Lab, Berkeley, CA USA - Autor o coautor
Univ Calif Berkeley, Childrens Environm Hlth Lab, CERCH, Berkeley Publ Hlth, 2121 Berkeley Way 5216, Berkeley, CA 94720 USA - Autor o coautor
Univ Calif San Francisco, Computat Biol & Informat Core, San Francisco, CA 94143 USA - Autor o coautor
Univ Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, San Francisco, CA 94143 USA - Autor o coautor
Univ Colorado Anschutz Med Campus, Dept Epidemiol, Colorado Sch Publ Hlth, Aurora, CO USA - Autor o coautor
Univ Colorado Anschutz Med Campus, Dept Med, Div Biomed Informat & Personalized Med, Aurora, CO USA - Autor o coautor
Univ Colorado Anschutz Med Campus, Life Course Epidemiol Adipos & Diabet LEAD Ctr, Aurora, CO USA - Autor o coautor
Univ Colorado Anschutz Med Campus, Sch Med, Dept Pediat, Aurora, CO USA - Autor o coautor
Univ Copenhagen, Fac Hlth & Med Sci, Dept Publ Hlth, Copenhagen, Denmark - Autor o coautor
Univ Copenhagen, Fac Hlth & Med Sci, Novo Nordisk Fdn Ctr Basic Metab Res, Copenhagen, Denmark - Autor o coautor
Univ Crete, Sch Med, Dept Social Med, Iraklion, Greece - Autor o coautor
Univ Exeter, Sch Psychol, Exeter, Devon, England - Autor o coautor
Univ Grenoble Alpes, CNRS, Inst Adv Biosci, INSERM, Grenoble, France - Autor o coautor
Univ Hasselt, Ctr Environm Sci, B-3590 Diepenbeek, Belgium - Autor o coautor
Univ Helsinki, Dept Psychol & Logoped, Helsinki, Finland - Autor o coautor
Univ Memphis, Sch Publ Hlth, Div Epidemiol Biostat & Environm Hlth, Memphis, TN USA - Autor o coautor
Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI USA - Autor o coautor
Univ Milan, Vittore Buzzi Children Hosp, Dept Pediat, Milan, Italy - Autor o coautor
Univ Minnesota, Sch Publ Hlth, Div Biostat, A460 Mayo Bldg,420 Delaware St SE, Minneapolis, MN 55455 USA - Autor o coautor
Univ N Carolina, Dept Epidemiol, Chapel Hill, NC USA - Autor o coautor
Univ Oslo, Fac Math & Nat Sci, Sect Stat & Data Sci, Dept Math, Oslo, Norway - Autor o coautor
Univ Penn, Dept Biostat Epidemiol & Informat, Perelman Sch Med, 423 Guardian Dr, Philadelphia, PA 19104 USA - Autor o coautor
Univ Rovira & Virgili, Pediat Nutr & Human Dev Res Unit, IISPV, Reus, Spain - Autor o coautor
Univ Sherbrooke, Dept Biochem & Funct Genom, Sherbrooke, PQ, Canada - Autor o coautor
Univ Sherbrooke, Dept Med, Sherbrooke, PQ, Canada - Autor o coautor
Univ Southampton, Clin & Expt Sci, Fac Med, Southampton, Hants, England - Autor o coautor
Univ Southampton, Southampton Gen Hosp, Human Dev & Hlth, Fac Med, Southampton, Hants, England - Autor o coautor
Univ Southern Calif, Ctr Genet Epidemiol, Los Angeles, CA 90033 USA - Autor o coautor
Univ Southern Calif, Dept Prevent Med, Los Angeles, CA USA - Autor o coautor
Univ Southern Calif, Norris Comprehens Canc Ctr, Los Angeles, CA 90033 USA - Autor o coautor
Univ Turin, Dept Med Sci, Canc Epidemiol Unit, CPO Piemonte, Turin, Italy - Autor o coautor
UPF, Barcelona, Spain - Autor o coautor
Vytautas Magnus Univ, Dept Environm Sci, LT-44248 Kaunas, Lithuania - Autor o coautor
Wendy Klag Center for Autism and Developmental Disabilities Johns Hopkins University, Baltimore, MD, USA. - Autor o coautor
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Resum

Seasonal variations in environmental exposures at birth or during gestation are associated with numerous adult traits and health outcomes later in life. Whether DNA methylation (DNAm) plays a role in the molecular mechanisms underlying the associations between birth season and lifelong phenotypes remains unclear.We carried out epigenome-wide meta-analyses within the Pregnancy And Childhood Epigenetic Consortium to identify associations of DNAm with birth season, both at differentially methylated probes (DMPs) and regions (DMRs). Associations were examined at two time points: at birth (21 cohorts, N = 9358) and in children aged 1-11 years (12 cohorts, N = 3610). We conducted meta-analyses to assess the impact of latitude on birth season-specific associations at both time points.We identified associations between birth season and DNAm (False Discovery Rate-adjusted p values < 0.05) at two CpGs at birth (winter-born) and four in the childhood (summer-born) analyses when compared to children born in autumn. Furthermore, we identified twenty-six differentially methylated regions (DMR) at birth (winter-born: 8, spring-born: 15, summer-born: 3) and thirty-two in childhood (winter-born: 12, spring and summer: 10 each) meta-analyses with few overlapping DMRs between the birth seasons or the two time points. The DMRs were associated with genes of known functions in tumorigenesis, psychiatric/neurological disorders, inflammation, or immunity, amongst others. Latitude-stratified meta-analyses [higher (≥ 50°N), lower (< 50°N, northern hemisphere only)] revealed differences in associations between birth season and DNAm by birth latitude. DMR analysis implicated genes with previously reported links to schizophrenia (LAX1), skin disorders (PSORS1C, LTB4R), and airway inflammation including asthma (LTB4R), present only at birth in the higher latitudes (≥ 50°N).In this large epigenome-wide meta-analysis study, we provide evidence for (i) associations between DNAm and season of birth that are unique for the seasons of the year (temporal effect) and (ii) latitude-dependent variations in the seasonal associations (spatial effect). DNAm could play a role in the molecular mechanisms underlying the effect of birth season on adult health outcomes.© 2023. BioMed Central Ltd., part of Springer Nature.

Paraules clau

birth seasonchildrendependsdifferentially methylated regions (dmr)discoverydiseasedna methylationgenderlatitudemeta-analysismetaanalysispregnancyprevalenceschizophreniaAsthmaBirth seasonCarcinogenesisChildChild, preschoolDifferentially methylated regions (dmr)Dna methylationHumansInfantInfant, newbornInflammationLatitudeMeta-analysisPaceRiskSeasons

Indicis de qualitat

Impacte bibliomètric. Anàlisi de la contribució i canal de difusió

El treball ha estat publicat a la revista Clinical Epigenetics a causa de la seva progressió i el bon impacte que ha aconseguit en els últims anys, segons l'agència WoS (JCR), s'ha convertit en una referència en el seu camp. A l'any de publicació del treball, 2023, es trobava a la posició 29/191, aconseguint així situar-se com a revista Q1 (Primer Cuartil), en la categoria Genetics & Heredity.

Des d'una perspectiva relativa, i atenent a l'indicador de impacte normalitzat calculat a partir del Field Citation Ratio (FCR) de la font Dimensions, proporciona un valor de: 2.89, el que indica que, comparat amb treballs en la mateixa disciplina i en el mateix any de publicació, el situa com un treball citat per sobre de la mitjana. (font consultada: Dimensions Jun 2025)

Concretament, i atenent a les diferents agències d'indexació, aquest treball ha acumulat, fins a la data 2025-06-13, el següent nombre de cites:

  • WoS: 4
  • Europe PMC: 1
  • OpenCitations: 3

Impacte i visibilitat social

Des de la dimensió d'influència o adopció social, i prenent com a base les mètriques associades a les mencions i interaccions proporcionades per agències especialitzades en el càlcul de les denominades "Mètriques Alternatives o Socials", podem destacar a data 2025-06-13:

  • L'ús, des de l'àmbit acadèmic evidenciat per l'indicador de l'agència Altmetric referit com a agregacions realitzades pel gestor bibliogràfic personal Mendeley, ens dona un total de: 68.
  • L'ús d'aquesta aportació en marcadors, bifurcacions de codi, afegits a llistes de favorits per a una lectura recurrent, així com visualitzacions generals, indica que algú està fent servir la publicació com a base del seu treball actual. Això pot ser un indicador destacat de futures cites més formals i acadèmiques. Aquesta afirmació està avalada pel resultat de l'indicador "Capture", que aporta un total de: 68 (PlumX).

Amb una intenció més de divulgació i orientada a audiències més generals, podem observar altres puntuacions més globals com:

  • El Puntuació total de Altmetric: 5.75.
  • El nombre de mencions a la xarxa social X (abans Twitter): 10 (Altmetric).

És fonamental presentar evidències que recolzin l'alineació plena amb els principis i directrius institucionals sobre Ciència Oberta i la Conservació i Difusió del Patrimoni Intel·lectual. Un clar exemple d'això és:

  • El treball s'ha enviat a una revista la política editorial de la qual permet la publicació en obert Open Access.
  • Assignació d'un Handle/URN com a identificador dins del Dipòsit en el Repositori Institucional: http://hdl.handle.net/20.500.11797/imarina9329943

Anàlisi del lideratge dels autors institucionals

Aquest treball s'ha realitzat amb col·laboració internacional, concretament amb investigadors de: Bangladesh; Belgium; Canada; Denmark; Finland; France; Gambia; Germany; Greece; Italy; Lebanon; Lithuania; Netherlands; Norway; Pakistan; Poland; Sweden; Timor-Leste; United Kingdom; United States of America.