J. E. Chrencik,
H.-P. Su,
Y. Gomez Llorente,
R. L. Palte,
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R. P. Hayes,
S. P. Antine,
G. A. Asmar-Rovira,
N. Bertoletti,
N. J. Byrne,
B. L. Carroll,
C. D. Cordeiro,
K. Curfman,
J. Dutko,
M. J. Eddins,
T. Fischmann,
B. Govindarajan,
C. W. Hecksel,
T. Ho,
K. Hollenstein,
M. R. Hong,
A. Hruza,
A. Ishchenko,
M. Jaime-Garza,
M. J. Jaremko,
H. L. Knox,
J. Kostas,
H. Krishnamurthy,
I. Manolaridis,
C. L. Noland,
A. T. Partridge,
S. B. Patel,
P. Reichert,
J. C. Reid,
C. Felisberto-Rodrigues,
C. A. Shintre,
J. M. Shipman,
E. Tamilselvan,
M. E. Walker,
S. N. Walker,
R. Wang,
K. M. Wright,
T.-J. Yen,
B.-K. Yoo and
S. B. Gabelli
This review describes how an integrated structural biology platform at Merck Sharp & Dohme LLC, Rahway, New Jersey, USA, combining X-ray crystallography, cryo-EM, MicroED and cryo-ET, enables seamless three-dimensional insights from molecular to cellular length scales. By uniting ex situ and in situ approaches with AI/ML-enabled data integration, the platform directly informs target selection, structure-based drug design, formulation strategies and mechanism-of-action studies across multiple therapeutic areas. These advances illustrate a scalable and impactful framework for accelerating mechanism-based, next-generation therapeutic discovery and development.