UCL 1684 (dibromide) is a first nanomolar, non-peptidic small conductance calcium-activated potassium (SK) channel blocker. It is effective in preventing the development of atrial fibrillation due to potent atrial-selective inhibition of INa, causing atrial-selective prolongation of ERP secondary to induction of postrepolarization refractoriness. In vitro studies show it produces direct atrial-selective inhibition of sodium channel current (INa) and shifts SS inactivation of cardiac sodium channels. It also induces PRR, decreases Vmax, increases DTE, and extends the shortest S1-S1 interval.
- First nanomolar, non-peptidic SK channel blocker.
- Effective in preventing atrial fibrillation by atrial-selective inhibition of INa.
- Induces atrial-selective prolongation of ERP.
- Increases wenckebach cycle length in vivo.