Due to its strong antioxidant activity, QUE is easy to be degraded under light, heat, or ultraviolet conditions. Meanwhile, QUE is almost insoluble in water, which further limits the development of its biological activity. The development of effective nano preparation has great advantages of improving the solubility, stability, and efficacy of hydrophobic drugs. Polymer lipid nanoparticles are core-shell nanocarriers constructed by combining the advantages of both polymer nanoparticles and lipid nanoparticles [33]. PLNs consist of three parts, namely the drug-carrying polymer core, the internal lipid layer surrounding the polymer core, and the external lipid-PEG layer [33]. The polymer system provides a large specific surface area, which is effectively in favor of the drug solubility. The internal lipid layer can enhance the biocompatibility of the polymer nucleus and prevent water expansion, thus reducing the rate of polymer degradation [34]. The outer PEG layer can not only prolong circulation time, but also achieve targeted drug delivery through PEG terminal functional groups conjugation with targeted ligands such as folic acid, monoclonal antibodies, and peptides [35]. The experimental results clarified that Q-PLNs improved the light stability and temperature stability of QUE, and they have similar antioxidant activity. In vitro release study illustrated that Q-PLNs were released slowly in the first-level model, achieving continuous and effective release. The results of cellular uptake and MTT assay elucidated that Q-PLNs enhanced the drug accumulation in MCF-7 cells and cytotoxicity of QUE. Therefore, the optimized Q-PLNs have good safety and stability as well as they can achieve the purpose of slow controlled release and targeting MCF-7 cells [36].
Alterations in autophagy pathways are present in a variety of diseases, including cancer, metabolic diseases, autoimmune diseases, and aging [9]. The allele deletion of the autophagy regulatory factor Beclin-1 was observed in 40–75% of human breast tumors, stating that autophagy can inhibit tumorigenesis [37]. In addition, metabolic stress induced by autophagy deficiency promotes DNA damage and chromosomal instability [38]. When DNA is damaged, autophagy-deficient cells exhibited reduced homologous recombination repair of damaged DNA, illuminating that autophagy plays an important part in maintaining genomic integrity [39]. Taken together, this evidence identifies that autophagy may be beneficial in inhibiting malignant transformation and tumor development.
According to research findings, the main mechanism of autophagy includes ULK1 and its upstream effectors such as AKT, mTOR, and AMPK, which initiate the processes of vesicular double-membrane formation of autophagy [40]. In the presence of nutrient deficiency or hypoxia, adenosine monophosphate (AMP)/adenosine triphosphate (ATP) and adenosine diphosphate (ADP)/ATP ratios increase, and LKB1 phosphorylate AMPKα to activate AMPK and directly inhibit mTOR complex 1 (mTORC1) [41, 42]. Dissociation of mTORC1 promotes rapid phosphorylation of ULK1 to activate autophagy, which plays a critical role in autophagy initiation. AMPK can also activate autophagy by directly inducing phosphorylation of ULK1, VPS34, and Beclin-1 [43, 44]. Under nutrient-rich conditions, active mTORC1 phosphorylates S757 at ULK1 to disrupt ULK1-AMPK interactions, inhibits phosphorylation of S317 and S777 at two AMPK loci, and keeps ULK1 inactive to inhibit autophagy [45].
LC3, Beclin-1, and P62 were the proteins most closely related to autophagy [46]. The autophagy regulatory protein LC3 is a mammalian homolog of yeast ATG8, widely existing on the autophagosome membrane [47], which can be detected in the whole process of autophagy. In mammals, LC3 protein expression varies with different types of tissue and cells [48, 49]. At the initial stage of autophagy, LC3-I in the cytoplasm binds to phosphatidylethanolamine to form LC3-II, which locates on the autophagosome membrane. After the start of the autophagy, LC3-II can be cleaved by ATG4 at its carboxyl-terminal and degraded to regenerate LC3-I in the cytoplasm [49]. Accordingly, the relative ratio of LC3-I/LC3-II is correlated with the formation amount of autophagosomes, perhaps to some extent determining the degree of autophagy induced by a specific stimulus.
Beclin-1, the first identified mammalian autophagy protein, which is involved in the formation of autophagosomes and has the role of initiating and promoting autophagy [50]. Beclin-1 gene is an important marker to measure autophagy ability, for autophagy functions will be inhibited when heterozygosity loss or abnormal methylation of Beclin-1 gene occurs. The deletion and mutation of Beclin-1 can promote tumor cell proliferation and is also an important factor in the connection between autophagy and tumor cell apoptosis [51].
Apoptosis is gene-regulated programmed cell death and an important way of tumor cell death. The process of apoptosis is regulated by many factors, among which Bcl-2, Bax, and caspase protein families are particularly crucial and perform effectively in the whole process of apoptosis [52, 53]. Caspase 9 regulates upstream apoptotic signals and then activates downstream caspase 3 through cascade reactions [54]. Bcl-2 inhibits apoptosis by inhibiting protein activity of caspase 3, while Bax promotes apoptosis by activating caspase 9. The relationship between autophagy and apoptosis is inseparable, for instance, P62 can effectively activate apoptosis-related protein caspase 8 and promote the co-localization of caspase 8 and LC3 [55]. On the one hand, Beclin-1 inhibits autophagy by binding to apoptosis-related protein Bcl-2 [50]. On the other hand, caspase also can inhibit autophagy by cutting Beclin-1 [56]. In different tumor types and backgrounds, the relationship between the two is also convertible: autophagy can promote apoptosis or inhibit apoptosis, which has an important influence on the survival of tumor cells.
In this experiment, Q-PLNs activated phosphorylation of AMPK, inhibited phosphorylation of mTOR, and activated ULK1 to induce autophagy. Autophagy flux and flow cytometry results demonstrated that Q-PLNs induced autophagy and promoted apoptosis of breast cancer MCF-7 cells. Western blot results showed that Q-PLNs significantly activated activity of AMPK/mTOR/ULK1 signaling pathway, promoted the expression of autophagy-related proteins Beclin-1 and LC3-II, and increased the proportion of pro-apoptotic proteins (p < 0.05) compared with control group and inhibitor CQ group. Studies have clarified that QUE has inhibitory effects on various tumors by affecting the cell cycle, inducing apoptosis, regulating autophagy, and inhibiting angiogenesis [57]. QUE also can inhibit the AKT/mTOR signal to regulate the metabolism, thereby inhibiting breast cancer growth [58]. In addition, QUE inhibits glycolysis to promote autophagy, thus inhibiting the growth and metastasis of breast cancer [59]. Consequently, our study has deepened the understanding of the mechanism between Q-PLNs-induced autophagy and breast cancer apoptosis, and the mechanism of autophagy on the occurrence and development of breast cancer needs to be further investigated, which is conducive to providing a scientific basis for the design of nano-preparations loaded with natural active ingredients for the breast cancer treatment.