Merck Sharp & Dohme (MSD), the international operating name of Merck & Co., Inc., is an American multinational biopharmaceutical company headquartered in Rahway, New Jersey, specializing in the discovery, development, manufacturing, and marketing of medicines, vaccines, and animal health products.[1] Founded on January 1, 1891, by George Merck as a distributor of fine chemicals, it has evolved into a research-intensive entity aspiring to lead in innovative health solutions globally.[2]MSD's portfolio includes blockbuster products such as Keytruda (pembrolizumab), an anti-PD-1 immunotherapy approved for multiple cancer indications and generating substantial revenue, and Gardasil, a recombinant vaccine preventing infections from human papillomavirus types associated with cervical cancer and other diseases. The company has contributed to advancements in areas like oncology, infectious diseases, and cardiovascular health through rigorous clinical research, with a history of pioneering vaccines and therapies that address unmet medical needs.[2]Despite these accomplishments, MSD has encountered major controversies, notably the 2004 voluntary withdrawal of Vioxx (rofecoxib), a COX-2 inhibitor pain reliever, following post-marketing data indicating an elevated risk of myocardial infarction and stroke compared to placebo, which prompted extensive litigation and a 2007 settlement of approximately $4.85 billion for the majority of claimant suits. Additional scrutiny has arisen from allegations of inadequate disclosure of risks in products like Fosamax (alendronate), linked to rare cases of osteonecrosis of the jaw, leading to regulatory warnings and further legal actions. These events underscore challenges in balancing innovation with pharmacovigilance in pharmaceutical development.
Companies
Pharmaceutical and Healthcare Companies
Merck Sharp & Dohme (MSD), the international arm of Merck & Co., Inc., operates as a leading research-driven pharmaceutical company focused on human health pharmaceuticals, vaccines, and animal health products outside the United States and Canada.[3] The company traces its origins to Merck & Co., founded on January 1, 1891, in New York by George Merck to distribute fine chemicals from the German Merck Group, which itself dates to 1668 but separated due to World War I asset seizures.[4] A pivotal 1953 merger with Sharp & Dohme, established in 1845 as a Baltimore apothecary and known for early sulfa drugs and marketing prowess, formed the modern entity, enhancing Merck's research capabilities with commercial distribution.[5] Over 130 years, MSD has developed treatments addressing oncology, infectious diseases, cardiovascular conditions, and immunology, alongside vaccines and livestock therapeutics.[1]In recent years, MSD's revenue has been dominated by oncology drugs, with pembrolizumab (Keytruda), a PD-1 inhibitor approved for multiple cancers including melanoma and lung cancer, generating $29.5 billion in 2024 sales, comprising 46% of total revenue.[6] The company's full-year 2025 sales guidance projects $64.3 billion to $65.3 billion, driven by oncology growth, vaccine contributions like the HPV vaccineGardasil, and animal health segments, despite foreign exchange headwinds; second-quarter 2025 results showed strength in these areas, with Keytruda and newer launches like WELIREG (belzutifan) for renal cell carcinoma advancing uptake.[7][8] Under CEO Robert M. Davis since 2021, whose 2024 compensation rose 14% to $23.2 million amid sustained performance, MSD maintains a global workforce emphasizing innovation in areas like cancer immunotherapy and cardiometabolic diseases.[9]MSD's pipeline includes over 70 programs in clinical development as of 2025, targeting unmet needs in oncology, vaccines, and hospital-acquired infections, supported by acquisitions and partnerships to bolster biologics and precision medicine.[3] Notable milestones include early contributions to penicillin production during World War II and the 1987 launch of ivermectin for parasitic diseases, earning a 2015 Nobel Prize for discoverers affiliated with Merck entities.[5]The company has faced significant controversies, particularly surrounding rofecoxib (Vioxx), a COX-2 inhibitor launched in 1999 and withdrawn in 2004 after studies linked it to increased myocardial infarction and stroke risks, affecting tens of thousands; internal documents later revealed allegations of data suppression, culminating in a 2011 $950 million U.S. settlement for improper promotion and kickbacks.[10][11] Alendronate (Fosamax), a bisphosphonate for osteoporosis approved in 1995, prompted thousands of lawsuits over atypical femoral fractures and osteonecrosis of the jaw, with Merck settling 1,140 cases for $27.7 million in 2013 and prevailing in federal preemption rulings on failure-to-warn claims.[12] These events highlight tensions between rapid drug commercialization and post-market safety surveillance, though MSD maintains that regulatory approvals and clinical data supported initial launches.[13]
Technology and Other Commercial Entities
MSD maintains involvement in technology through dedicated innovation arms and investments aimed at advancing digital health solutions. The Merck Digital Sciences Studio (MDSS), launched in June 2022, functions as an accelerator program supporting early-stage biomedical startups by offering direct investment, access to Microsoft AzureCloud computing resources, mentorship, and opportunities to pilot technologies within MSD's ecosystem.[14] Similarly, the MSD Global Health Innovation Fund (MGHIF), established as a growth-stage investor, partners with digital health and data science firms to accelerate therapies and diagnostics, emphasizing scalable innovations in healthcare delivery.[15][16]In artificial intelligence applications, MSD has deployed internal generative AI platforms to streamline clinical study documentation, reducing production time for critical-path materials as of June 2025.[17] External collaborations include a 2025 partnership with Longenesis to launch an online risk assessment tool for cervical cancer, leveraging digital algorithms for patient screening.[18] Another initiative involves teaming with health technology firm Axana in 2023 to develop a digitalplatform optimizing lung cancer care pathways across European clinics.[19]Within animal health, MSD operates specialized technology subsidiaries and has pursued targeted acquisitions to enhance monitoring and automation. MSD (Ningbo) Animal Health Technology Co., Ltd., based in China, focuses on veterinary technology development.[20] In 2021, MSD Animal Health acquired assets from LIC Automation Ltd., integrating advanced milking and herd management automation systems for dairy operations.[21] Additional acquisitions include Allflex Livestock Intelligence, Sure Petcare, and Biomark, which provide digital tracking, traceability, and monitoring solutions for livestock and pets.[22] The Animal Health Intelligence division incorporates IdentiGEN, specializing in DNA-based animal identification and analytics technologies operational in multiple countries.[23]Earlier efforts include the 2006 acquisition of Advanced Technologies for Medicine (ATM), aimed at bolstering diagnostic and therapeutic technology capabilities.[24] These entities and partnerships reflect MSD's strategy to integrate technology for precision in human and animal health, though outcomes depend on empirical validation of efficacy in real-world applications.[25]
People
Notable Individuals
Mahendra Singh Dhoni, commonly known by his initials MSD, is an Indian professional cricketer who plays as a right-handed wicket-keeper batter. Born on July 7, 1981, in Ranchi (then Bihar, now Jharkhand), he rose to prominence in domestic cricket before debuting internationally in 2004.[26][27]Dhoni captained the Indian national team in limited-overs formats from 2007 to 2016 and in Test cricket from 2008 to 2014, leading India to victories in the 2007 ICC World Twenty20, the 2011 ICC Cricket World Cup, and the 2013 ICC Champions Trophy—the only captain to win all three major ICC limited-overs tournaments.[28][26] His tactical acumen, particularly in finishing innings and managing bowling resources, earned him recognition as one of cricket's most successful leaders, with India achieving the number one Test ranking during his tenure.[28]In the Indian Premier League, Dhoni has captained Chennai Super Kings to five titles (2010, 2011, 2018, 2021, 2023), appearing in ten finals across the franchise's first 14 seasons.[26] He retired from international cricket on August 15, 2020, but continues to compete in the IPL, amassing over 17,000 international runs and effecting more than 600 dismissals as a wicket-keeper.[26][27]
Computing and Technology
Hardware and Devices
In computing, mass storage devices (MSDs) utilizing the USB Mass Storage Class provide hardware peripherals that emulate block storage interfaces, enabling host systems to access data via standardized SCSI command sets transported over USB bulk transfers. The class specification outlines support for protocols like Bulk-Only Transport (BOT), which uses endpoint pairs for command, data, and status exchanges, ensuring broad compatibility without host-specific drivers.[29]Core hardware components in USB MSD implementations include a USB transceiver or controller for protocol handling, non-volatile storage media such as NANDflash chips or HDD platters, a microcontroller or ASIC to manage SCSI-to-storage bridging, and a crystal oscillator for precise timing of USB packets and data operations. USB flash drives, a prevalent MSD form, integrate these elements compactly: the mass storage controller processes USB requests and wear-leveling for flash endurance, while the connector adheres to USB 2.0 or higher standards for plug-and-play detection.[30][31] External HDDs and SSD enclosures extend this by incorporating SATA-to-USB bridges, allowing legacy storage to interface via MSD while supporting capacities up to terabytes.[32]Embedded MSD hardware appears in microcontrollers and development boards, where internal flash or SD card slots are exposed as virtual drives for simplified file I/O. For example, Nordic Semiconductor's nRF52840 DK uses an interface MCU to present firmware storage as a host-accessible drive, aiding drag-and-drop programming. Similarly, Microchip's Harmony framework enables PIC32 devices to implement MSD over internal memory, with hardware requiring minimal external parts beyond USB pull-up resistors and decoupling capacitors.[33][34] These setups leverage on-chip USB peripherals compliant with USB 2.0 full-speed (12 Mbps) or high-speed (480 Mbps) modes, prioritizing low-latency bulk transfers for read/write efficiency.[35]MSD hardware must handle power management per USB specifications, drawing up to 500 mA at 5 V for bus-powered operation, with suspend/resume signaling to conserve energy during idle states. Limitations include potential data corruption risks from improper ejection, as the class lacks mandatory file system checks, relying on host OS safeguards like Windows' safe removal policy.[29][36]
Software and Protocols
The USB Mass Storage Device (MSD) class constitutes a device class protocol in the Universal Serial Bus (USB) specifications, enabling peripheral devices to present themselves to hosts as logical block storage units compatible with SCSI commands via bulk transfers. Defined by the USB Implementers Forum, the protocol supports transport mechanisms such as Bulk-Only Transport (BOT), which handles data movement over endpoint pipes without interrupt endpoints for status, and is integral to devices like USB flash drives, external hard disk drives, and optical media readers. The specification, version 1.4 released in 2010, ensures interoperability by wrapping standard storage command sets, allowing hosts to perform read/write operations, inquiry commands, and mode selections without proprietary drivers in compliant operating systems.[29][37]In sorting algorithms, MSD denotes Most Significant Digitradix sort, a non-comparative method that recursively partitions keys—typically strings or multi-digit integers—starting from the highest-place-value digit to distribute elements into buckets, followed by stable sorting within subgroups for lower digits. This top-down approach contrasts with least-significant-digit variants by enabling early termination for prefixes and suiting variable-length data, with time complexity averaging O(N + K * d) where N is the number of keys, K the radix, and d the maximum key length. Analyses highlight its efficacy in parallel environments and string-heavy applications, such as suffix array construction, where it leverages digital trie structures for efficiency.[38]
Organizations
Educational Institutions and Districts
In the United States, the acronym MSD frequently designates Metropolitan School District, a common organizational structure for public K-12 school systems, particularly in Indiana where state law authorizes such districts to consolidate services across townships for efficiency in suburban and urban areas. These MSDs typically oversee multiple elementary, middle, and high schools, managing enrollments ranging from several thousand to over 15,000 students, with funding derived from local property taxes, state aid, and federal grants. Indiana hosts dozens of MSDs, concentrated in counties like Marion, serving diverse student populations including significant minority and economically disadvantaged subgroups.[39]The Metropolitan School District of Washington Township in Indianapolis, Indiana, exemplifies a large MSD, operating 14 schools and enrolling 10,512 students as of 2023 data, with a minority enrollment of 70% and 41.1% of students qualifying for free or reduced-price lunch.[40] Similarly, the Metropolitan School District of LawrenceTownship serves over 16,000 students across 21 facilities in a suburban area of northeastern Indianapolis, emphasizing early learning centers alongside traditional K-12 programming.[41] The Metropolitan School District of Warren Township, also in Indianapolis, educates more than 11,300 students from PreK through grade 12, supported by over 700 full-time staff and tracing its origins to 1826.[42]Beyond Indiana's MSD framework, other educational entities adopt the MSD abbreviation. The Maryland School for the Deaf, founded in 1868 and operating tuition-free campuses in Frederick and Columbia, enrolls over 450 deaf and hard-of-hearing students aged birth to 21, delivering a bilingual curriculum in American Sign Language and English with specialized support for cochlear implant users and diverse linguistic backgrounds.[43] In New York, the Massapequa Union Free School District, serving Nassau County, manages 9 schools for 6,536 students in grades K-12, with a low 5.8% economically disadvantaged rate and strong performance metrics including 78% math proficiency on state assessments.[44] These districts highlight MSD's application to both general and specialized public education models, often prioritizing local governance and resource allocation amid varying demographic needs.
Professional and Civic Organizations
The United MSD Foundation, founded in 2016 as a 501(c)(3) nonprofit, supports an international community affected by multiple sulfatase deficiency (MSD), a rare lysosomal storage disorder characterized by enzyme deficiencies leading to neurological and skeletal impairments. The organization funds research, facilitates clinical trial access, and provides resources such as educational materials and support networks for families and medical professionals treating MSD patients. It collaborates with partner groups including the MSD Action Foundation, Fundación Cure MSD, Cura MSD, Grant Us Grace, and strEngTHAN to amplify advocacy and awareness efforts globally.[45][46][47]The Technical Committee on Musculoskeletal Disorders (TC MSD) functions as a specialized scientific body within the International Ergonomics Association (IEA), established to advance research and standards on MSDs—conditions involving muscle, tendon, and nerve injuries often linked to repetitive workplace tasks. Comprising ergonomics experts, the committee develops guidelines for hazard assessment, intervention strategies, and prevention protocols, contributing to occupational health policies that reduce injury incidence rates, which affect over 30% of workers in high-risk sectors per global ergonomic studies.[48]MSD for Mothers, launched as a nonprofit initiative in 2010, targets a 50% reduction in preventable maternal deaths by 2030 through evidence-based innovations, health worker training, and systems strengthening in underserved regions. It has invested over $100 million in grants and partnerships across more than 20 countries, emphasizing scalable solutions like quality improvement collaboratives that have documented decreases in maternal mortality ratios in pilot programs. While initially supported by pharmaceutical philanthropy, it operates independently to foster multisectoral collaborations with governments and NGOs.[49][50]The MSD Pledge, inaugurated in June 2022 by the National Safety Council's MSD Solutions Lab, unites employers and safety professionals in committing to proactive musculoskeletal disorder prevention, addressing the leading cause of workplace injuries and disabilities in the U.S., which result in approximately 1 million cases annually. Participants implement risk-reduction frameworks, including engineering controls and training, with charter members reporting measurable declines in injury rates through data-driven audits.[51]
Science and Medicine
Medical Conditions and Disorders
Multiple sulfatase deficiency (MSD) is an ultra-rare, autosomal recessive lysosomal storage disorder characterized by the impaired function of multiple sulfatase enzymes due to mutations in the SUMF1 gene, which encodes a formylglycine-generating enzyme essential for sulfatase activation.[52] This leads to the accumulation of sulfated substrates in lysosomes, affecting multiple organ systems including the central nervous system, skin, and skeleton.[53] The condition combines features of metachromatic leukodystrophy (due to arylsulfatase A deficiency) and multiple mucopolysaccharidoses (due to deficiencies in other sulfatases like iduronate-2-sulfatase and heparan N-sulfatase).[54]Clinically, MSD presents with a spectrum of severity, typically manifesting in infancy or early childhood, though late-onset forms exist. Common symptoms include progressive neurological deterioration with developmental regression, hypotonia progressing to spasticity, seizures, and intellectual disability; ichthyosis (dry, scaly skin) resembling X-linked ichthyosis; and skeletal abnormalities such as dysostosis multiplex with short stature and joint contractures.[52] Other features may involve hearing loss, corneal clouding, cardiac valve abnormalities, and recurrent respiratory infections. The disease course is relentlessly progressive, often leading to death in childhood or adolescence from neurological complications or infections, with survival beyond early adulthood rare in severe cases.[54]Diagnosis is confirmed through enzymatic assays showing reduced activity across multiple sulfatases, genetic testing identifying biallelic SUMF1 variants (over 50 reported mutations, mostly missense), and supportive findings like metachromatic granules in leukocytes or suramin accumulation in fibroblasts.[52] Prenatal diagnosis is possible via molecular analysis in families with known mutations. Differential diagnoses include isolated mucopolysaccharidoses, metachromatic leukodystrophy, or Austin disease, but the multisulfatase pattern distinguishes MSD.[53]No curative treatment exists; management is supportive, including physical therapy for motor function, antiseizure medications, skin care for ichthyosis, and hematopoietic stem cell transplantation in select early cases, though evidence is limited and risks high due to underlying enzyme defects.[52] Experimental approaches like gene therapy or chaperone molecules are under preclinical investigation, but as of 2023, none have reached clinical use. Incidence is estimated at less than 1 in 1,000,000 births, with around 40-50 cases documented worldwide, primarily in populations without founder effects.[54]In occupational and public health contexts, MSD also denotes musculoskeletal disorders, a broad category of injuries and conditions affecting muscles, tendons, ligaments, nerves, and joints, often resulting from repetitive strain, awkward postures, or forceful exertions in work environments.[55] These include carpal tunnel syndrome, tendinitis, and low back pain, with U.S. Bureau of Labor Statistics data reporting over 1 million nonfatal MSD cases involving days away from work in 2018, predominantly among workers aged 45-64.[56] Prevention emphasizes ergonomic interventions, though MSDs here refer to a heterogeneous group rather than a singular disorder.[57]
Scientific Concepts and Methods
The mean squared displacement (MSD), denoted as \langle \Delta r^2(t) \rangle, quantifies the average squared Euclidean distance traveled by particles or molecules from their starting positions over a time interval t. It serves as a fundamental metric in statistical mechanics and biophysics for characterizing diffusive processes, where the angular brackets indicate an ensemble average or time average over multiple trajectories. For Brownian motion in d dimensions under normal diffusion, the MSD follows the Einstein relation \langle \Delta r^2(t) \rangle = 2dDt, with D representing the diffusion coefficient, enabling direct extraction of D via linear fitting of MSD versus t.[58][59]In molecular dynamics simulations and single-particle tracking experiments, MSD analysis distinguishes diffusion regimes: normal diffusion yields a linear MSD-time plot (exponent \alpha = 1), subdiffusion (e.g., in crowded cellular environments) shows \alpha < 1, and superdiffusion (e.g., active transport) exhibits \alpha > 1, where the anomalous diffusion exponent \alpha is derived from \langle \Delta r^2(t) \rangle \propto t^\alpha. This method relies on tracking particle coordinates over time, computing displacements for various lag times \tau, and averaging to mitigate noise, often using software like GROMACS for atomic-scale simulations or custom algorithms for experimental data. For instance, in protein diffusion studies within cell membranes, variable-order fractional MSD models capture evolving lateral mobility influenced by lipid interactions.[60][61][62]Computationally, MSD is evaluated by selecting reference times, calculating \Delta r^2(\tau) for each lag \tau, and averaging across origins to ensure ergodicity in stationary processes; unwrap trajectories to handle periodic boundaries in simulations. Experimental applications, such as fluorescence correlation spectroscopy, retrieve MSD from autocorrelation functions under specific conditions like low particle densities. Limitations include sensitivity to trajectory length and sampling frequency, requiring at least 100-1000 steps for reliable \alpha estimation, and assumptions of isotropy for simple interpretations. In viscoelastic media, MSD plateaus at long times reflect caged diffusion, as quantified in diffusing wave spectroscopy for gelation monitoring.[58][63][64]
Other Uses
Engineering and Technical Applications
The mass-spring-damper (MSD) system models the dynamic response of mechanical structures subject to oscillatory forces, representing inertia via mass m, restoring force via spring stiffness k, and energy dissipation via damping coefficient c. This linear time-invariant model, governed by the differential equation m\ddot{x} + c\dot{x} + kx = f(t), underpins analysis in vibration isolation, control theory, and system stability.[65]In automotive engineering, MSD models simulate vehicle suspension systems to optimize ride quality and road handling; for example, quarter-car models approximate wheel-mass interactions with road inputs, enabling parameter tuning for damping ratios that minimize resonance at typical driving frequencies around 1-2 Hz.[66] Such applications extend to multi-degree-of-freedom variants for full-vehicle dynamics, informing designs that balance comfort and safety under loads up to 5g in crash scenarios.Structural engineering employs MSD principles in tuned mass dampers (TMDs), auxiliary oscillators attached to primary structures to reduce amplitude during wind or seismic events; TMDs achieve up to 40% vibration suppression by tuning natural frequencies to match the host structure's mode, as in systems with masses comprising 0.5-2% of the primary mass.[67] Long-span bridges, such as cable-stayed designs, integrate TMDs to counter pedestrian-induced lateral sway at frequencies near 1 Hz, preventing fatigue accumulation over service lives exceeding 100 years.In aerospace applications, MSD frameworks analyze flutter suppression and landing geardynamics; for instance, equivalent MSD reductions of aeroelastic systems predict critical speeds where damping ratios drop below 0.01, guiding active control implementations with piezoelectric actuators to maintain stability margins. Manufacturing system design (MSD) methodologies, distinct but leveraging similar dynamic modeling, optimize production line layouts for throughput, incorporating stochasticdamping analogs to buffer variability in cycle times reduced by up to 20% through simulation-driven reconfiguration.[68]
Miscellaneous Acronyms and Terms
Marine Sanitation Device refers to an onboard sewage treatment system designed for vessels, required by regulations such as those from the U.S. Coast Guard for boats longer than 65 feet to manage waste and minimize environmental discharge. These devices typically employ maceration, chlorination, or incineration to process effluent before overboard release.[69]Most Significant Digit designates the leftmost digit in a numerical value, carrying the highest place value and influencing precision in calculations, rounding, and data representation in fields like engineering and computing. For instance, in the number 1234, 1 is the MSD, determining the order of magnitude.[70]Mean Square Deviation is a statistical measure of variability, computed as the average of squared differences between observed values and the arithmetic mean, often used to quantify error or dispersion in datasets. It forms the basis for variance calculations, with the formula \sigma^2 = \frac{1}{n} \sum (x_i - \bar{x})^2.[69]Multi-Site Damage, in the context of structural integrity, describes the concurrent occurrence of multiple fatigue cracks within a single component, such as aircraft lap joints, which can lead to rapid crack propagation and failure if undetected. This condition arises from prolonged cyclic loading and is addressed through non-destructive testing protocols.[71]Magnetic Stripe Data pertains to the encoded information on the magnetic strip of payment cards, including account numbers and expiration dates, read by terminals for transaction authorization under standards like ISO/IEC 7811. Security concerns have prompted shifts toward chip-based alternatives since the 2010s.[72]