RT Journal Article SR Electronic T1 A novel drug-combination screen in zebrafish identifies epigenetic small molecule candidates for Duchenne muscular dystrophy JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.02.19.956532 DO 10.1101/2020.02.19.956532 A1 Gist H. Farr III A1 Melanie Morris A1 Arianna Gomez A1 Thao Pham A1 Elizabeth U. Parker A1 Elisabeth Kilroy A1 Shery Said A1 Clarissa Henry A1 Lisa Maves YR 2020 UL http://biorxiv.org/content/early/2020/02/20/2020.02.19.956532.abstract AB Duchenne muscular dystrophy (DMD) is a severe neuromuscular disorder and is one of the most common muscular dystrophies. There are currently few effective therapies to treat the disease, although many small-molecule approaches are being pursued. Specific histone deacetylase inhibitors (HDACi) can ameliorate DMD phenotypes in mouse and zebrafish animal models and have also shown promise for DMD in clinical trials. However, beyond these HDACi, other classes of epigenetic small molecules have not been broadly and systematically studied for their benefits for DMD. Here, we performed a novel chemical screen of a library of epigenetic compounds using the zebrafish dmd model. We identified candidate pools of epigenetic compounds that improve skeletal muscle structure in dmd zebrafish. We then identified a specific combination of two drugs, oxamflatin and salermide, that significantly rescued dmd zebrafish skeletal muscle degeneration. Furthermore, we validated the effects of oxamflatin and salermide in an independent laboratory. Our results provide novel, effective methods for performing a combination small-molecule screen in zebrafish. Our results also add to the growing evidence that epigenetic small molecules may be promising candidates for treating DMD.