“…During the transport cycle, three main conformational states of transporters can be distinguished: an outward-open state, allowing for access to the S1 site for the substrate and ions from the extracellular side; an occluded state, where access to the S1 site is blocked from both sides of the membrane; and an inward-open state, allowing for the release of the substrate and ions into the cell [ 10 , 11 ]. Analysis of the available crystal structures of SLC6 proteins and the results of in silico studies revealed that competitive inhibitors bind with a high affinity to the S1 site, blocking the transporter in an outward-open state [ 6 , 7 , 12 , 13 , 14 , 15 , 16 ]. Within the vestibule of the transporter, an allosteric binding site (S2) was identified, in which, as observed for S-citalopram in SERT, additional ligand molecules can bind, thus modulating the affinity of ligands (including itself) that bind in the S1 site [ 8 , 17 , 18 ].…”