“…According to the monocyte-T-lymphocyte hypothesis the immune system plays a key role in determining someone's personality and temperament, through synthesis, release and uptake of monoamines in the central nervous system [25,33,34]. Decreased or increased expression of synaptic plasticity, neurogenesis, and neuromodulation through basal ganglia, the frontal cortex and activity of the hypothalamus-pituitary axis (HPA) affect the limbic system and influence its various activations [26,27,35,36,37,38]. Thus, the complex of PEN traits and personality (temperament) is conditioned by many factors [39].…”