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The term "direct musculotropic effect" refers to agents or mechanisms that act directly on smooth muscle cells to alter their contractility—independent of neural or classic receptor-mediated pathways. These agents can induce either contraction or relaxation by acting on the contractile machinery or associated signaling pathways within smooth muscle cells. Examples include serine proteases like thrombin, substance P, propantheline, and dicyclomine.
Direct modulation of smooth muscle contraction/relaxation independent of classic neurotransmitter receptor activation
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