Cryo-electron microscopy (cryo-EM) has emerged as a transformative tool in structural biology, enabling high-resolution visualization of macromolecules in their native states. Cryo-focused ion beam milling (cryo-FIB) and other advances in sample preparation have expanded the range of biological samples that can be studied with cryo-EM to include cells and tissues. While the dream of high-resolution structural analysis of proteins within their native, cellular context is now being realized, sample preparation, especially from tissues, is still labor-intensive and technically challenging. Here we review the latest innovations in cryo-EM sample preparation, including support fabrication and functionalization, cell micropatterning, and techniques for thinning frozen biological samples. Beyond streamlining and improving the repeatability of sample preparation, these advances are expanding the impact of cryo-EM by enabling unprecedented visualization of structures within cells and tissues in healthy and diseased states, as well as structural analysis of biological processes at well-controlled time points.
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