“…In agreement with our previous study (Canals et al, 2012), BQCA exhibited key hallmarks of allostery within a two-state system at the WT M 1 mAChR, including positive or negative modulation of orthosteric ligand activity depending on the nature of the orthosteric ligand (i.e., positive or inverse agonist) and different strengths of cooperativity depending on the intrinsic efficacy of the orthosteric ligand and the magnitude of stimulus-response coupling of the studied signal pathway. It can, of course, be questioned as to how an allosteric modulator can behave in a manner consistent with a two-state model at GPCRs given that these receptors adopt a larger spectrum of biologically active states, a prerequisite, in fact, for biased signaling (Vaidehi and Kenakin, 2010;Mary et al, 2012). This can be reconciled within a model whereby the modulator changes the abundance, but not the quality/nature, of different microstates that govern receptor activity; an overall change in abundance of active microstates in one direction relative to "inactive" microstates would still appear, at a macroscopic level, as a "two-state" system.…”