Introduction

Sepsis develops due to a dysregulated host response to infection and can lead to life-threatening organ dysfunction (Evans et al. 2021). Of note, this syndrome is a challenge for public health for its increasing morbidity and approximately 30% mortality (Vincent et al. 2019; Bauer et al. 2020). The intestine is vulnerable during sepsis presented as disrupted mucus integrity and increased mucosal permeability, thus allows the transport of toxic mediators to the blood circulation and leads to distant organ dysfunction (Mittal et al. 2014; Klingensmith et al. 2016).

The intestinal mucosa consists of a single-layered epithelium that is highly dynamic and precisely regulated (Peterson et al. 2014; Odenwald et al. 2017). The balance between proliferation and apoptosis in the epithelium maintains intestinal homeostasis. Excessive apoptosis in the intestinal epithelium can damage epithelial integrity, resulting in intestinal hyperpermeability (Yoseph et al. 2016). As energy-generating organelles, mitochondria are also involved in regulating apoptosis, calcium homeostasis, and oxidative metabolism (Nunnari et al. 2012). Mitochondria are dynamic organelles that undergo fusion and fission, which not only affects their morphology but is also linked with their function. During sepsis, mitochondria undergo excessive fission and insufficient fusion, which damages mitochondrial quality and function, causing cellular dysfunction (Parikh et al. 2015; Chan 2020). Treating the imbalance in mitochondrial fusion and fission will improve therapeutic options for sepsis.

Sepsis is a series of systemic inflammatory responses accompanied by the activation of nuclear factor-κB (NF-κB) signalling. The role of NF-κB signalling in sepsis is controversial for its activation contributes to inflammatory injury in tissues whereas it also mediates host defence and other protective cellular responses (Stone et al. 2017; Ren et al. 2020; Yang et al. 2020; **s of the mice

Enzyme-linked immunosorbent assay (ELISA)

At 24 h after the surgery, the mice were anaesthetized, and blood was collected from the heart. Then, the mice were euthanized, and the blood was centrifuged at 3000×g for 15 min at 4 °C. The serum was collected, and the indicated parameters were analysed by ELISA kits (Cloud-clone, Wuhan, China) according to the manufacturer’s instructions.

Haematoxylin and eosin (H&E) staining

Small intestine samples were collected 24 h after CLP and fixed in 10% paraformaldehyde overnight. The samples were then embedded in paraffin and sliced into 5 μm-thick sections. For pathological examinations, the sections were stained with H&E as previously described (Cao et al. 2018). The severity of mucosal injury was assessed with Chiu’s scoring system as previously described (Chiu et al. 1970).

Terminal deoxynucleotidyl transferase (TdT)-mediated dUDP-biotin nick end labelling (TUNEL) staining

To examine apoptotic cells in the intestinal epithelium, a TUNEL assay was performed as previously described (Cao et al. 2018). The tissue sections were incubated in a permeabilization solution, stained with the reaction mixture and subsequently incubated with DAPI. TUNEL-positive cells were characterized by dark brown staining of the nucleus and nuclear membrane.

Cell culture and treatments

The human intestinal Caco-2 cell line was purchased from Cellcook Biotech (Guangzhou, China) and cultured in DMEM supplemented with 10% foetal bovine serum (FBS) (Invitrogen, San Diego, CA, USA), 100 U/ml penicillin and 100 mg/ml streptomycin at 37 °C in a humidified atmosphere of 5% CO2. When the cells reached 70–80% confluence, the cells were exposed to various treatments according to various objectives.

Transfection with plasmids and siRNA

The plasmids pCDNA3.1-PLK1, pCDNA3.1-TANK and Si-TANK (5’- GAACUAUGAGCAGAGAAUATT-3’) were constructed by Keygen Biotech (Nan**g, China), along with the corresponding controls. Caco-2 cells were cultured in 6-well plates, and when they reached 60–70% confluence, the original media was replaced with serum-free Opti-MEM. Subsequently, the plasmids or siRNA was transfected into the cells using Lipofectamine 3000 (Invitrogen, Carlsbad, CA, USA) following the instructions.

Apoptosis analysis

Apoptotic cells were double-labelled with Annexin V–APC and 7-AAD using an Annexin V-APC/7-AAD kit (KGA1024, Keygen Biotech, China) and analysed with a BDTM LSRΙΙ flow cytometer (BD Biosciences). Annexin V-positive cells were counted and defined as apoptotic cells.

Measurement of reactive oxygen species (ROS) production

To measure ROS generation, tissue slides or cells were incubated with 10 µM DCFH-DA (KGT010-1, Keygen Biotech, China), which is a fluorescent ROS probe at 37 °C for 20 min. Then, the cells were washed with phosphate-buffered saline (PBS) 3 times, and the nuclei were stained with Hoechst. All procedures were performed in the dark, and the samples were observed by a laser scanning confocal microscope (Olympus, Tokyo, Japan).

Measurement of mitochondrial membrane potential (MMP)

MMP was measured using a JC-1 MMP assay kit (KGA602, Keygen Biotech, China). Fluorescence images were acquired using a fluorescence microscope (Olympus, Tokyo, Japan) with an excitation wavelength of 488 nm and emission wavelengths of 529 and 590 nm for JC-1 monomers and aggregates, respectively. The loss of MMP was reflected by the ratio of aggregates (red fluorescence) to monomers (green fluorescence).

Measurement of transepithelial electrical resistance (TEER)

TEER was measured as described previously (Zheng et al. 2020). Briefly, Caco-2 cells were seeded on the upper layer of a Transwell 6-well plate (0.4 μm, Corning, America), and different treatments were added according to the experimental design. Then, an epithelial volt–ohm metre with a chopstick electrode (World Precision Inc, America) was used to measure the TEER every 1 h.

Immunoprecipitation assay

To examine the endogenous interaction between PLK1 and TANK, Caco-2 cells were washed with ice-cold PBS and lysed in IP lysis buffer (Beyotime, China) supplemented with PMSF (Beyotime, China). The lysates were then centrifuged and incubated with Protein A/G agarose beads (Santa Cruz, CA, USA), after which the beads were cleared by centrifugation. Lysates and immunoprecipitates were incubated with the indicated primary antibodies and the appropriate secondary antibodies, followed by separation by SDS–PAGE and detection.

Transmission electron microscopy (TEM)

TEM was used to evaluate the ultrastructure of the intestine and cells according to a previous study (Shi et al. 2021). The small intestine or cells were fixed in 2.5% glutaraldehyde for 3 h and treated with 1% osmium tetroxide for 1 h. After being dehydrated in a graded ethanol series, the tissues were embedded in epoxy resin, sliced with an ultramicrotome, and subsequently stained with uranyl acetate and lead citrate. Finally, the samples were observed and analysed under a transmission electron microscope.

Immunofluorescence staining

For immunofluorescence staining, intestine tissue slices and cells were fixed with 4% paraformaldehyde for 10 min, washed with PBS, incubated with primary antibodies overnight at 4 °C, incubated with secondary antibodies at room temperature in the dark, washed with PBS three times and imaged using a fluorescence microscope (Olympus, Tokyo, Japan).

Cell lysis and protein extraction

The small intestinal epithelium was isolated as previously described (Peuker et al. 2016), and then total proteins were extracted with a protein extraction kit (Beyotime, China). To extract total proteins from the cells, the harvested cells were washed with cold PBS and lysed with lysis buffer containing protease and phosphatase inhibitor cocktails. A nuclear extraction kit (Sigma–Aldrich, MO, USA) was used for nuclear-cytoplasmic fractionation. The protein concentration was quantified with a BCA protein assay kit (Beyotime, China).

Immunoblotting

To determine the levels of the indicated proteins, equal amounts of protein were separated by SDS–PAGE and transferred to PVDF membranes (Millipore, Bedford, MA, USA). Subsequently, the membranes were blocked with 5% milk in Tris-buffered saline-Tween 20 at room temperature for 1 h and then probed with the indicated primary antibodies overnight at 4 °C. After being washed with PBS three times, the membranes were incubated with the corresponding secondary antibodies. Finally, the membranes were analysed using the super ECL detection reagent (Tanon, Guangzhou, China).

Statistical analysis

Prism 5.0 (GraphPad Software Inc, San Diego, CA, USA) was used for data analysis. Quantitative data are presented as the mean ± SD, and the data were statistically evaluated using Student’s t tests or one-way ANOVA. A value of p < 0.05 was considered statistically significant.