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Tsai et al. Vessel Plus 2021;5:9  I  http://dx.doi.org/10.20517/2574-1209.2020.73                                                Page 7 of 9

               CONCLUSIONS
               Stroke is the leading global cause of adult neurological disability, which causes sensory-motor function
               impairment and neuronal death; however, there are currently no medical or surgical treatments to improve
               neurological function and neurogenesis in chronic stroke. Growing translational and clinical evidence has
               demonstrated the potential effectiveness of hematopoietic growth factors and stem cell transplantation as
                                                                                     +
               therapies for stroke, including GCSF, mesenchymal stem cells, autologous CD34  peripheral blood stem
               cells, umbilical cord blood and stromal stem cells, and autologous adipose-derived mesenchymal stem
               cells. This review not only highlights the safety aspects but also indicates how to achieve the maximum
               benefit for patients with chronic stroke by considering the route of administration and stem cell numbers.
               Therefore, these studies pave the way for the next generation of neurogenesis therapies for chronic stroke.


               DECLARATIONS
               Authors’ contributions
               Literature review: Tsai ST, Ding DC
               Writing the manuscript: Tsai ST, Lee CH, Lin SZ, Ding DC
               Organizing the manuscript: Ding DC
               Discussion of the manuscript: Tsai ST, Lee CH, Ding DC, Lin SZ

               Availability of data and materials
               Not applicable.

               Financial support and sponsorship
               The work was supported by the Buddhist Tzu Chi Medical Foundation (TCMF-EP-108-02 to DCD, TCMF-
               CWP-109-01, TCMF-MP 108-01-03, Buddhist Tzu Chi Medical Foundation).


               Conflicts of interest
               All authors declared that there are no conflicts of interest.

               Ethical approval and consent to participate
               Not applicable.

               Consent for publication
               Not applicable.

               Copyright
               © The Author(s) 2021.

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