Hyaluronic Acid Modified Nanostructured Lipid Carrier for Targeting Delivery of Kaempferol to NSCLC: Preparation, Optimization, Characterization, and Performance Evaluation In Vitro

Lung cancer seriously threatens the health of human beings, with non-small cell lung cancer (NSCLC) accounting for 80%. Nowadays, the potential position of nano-delivery in treating cancer has been the subject of continuous research. The present research aimed to prepare two molecular weight hyaluronic acid (HA)-modified kaempferol (KA)-loaded nanostructured lipid carriers (HA-KA-NLCs) by the method of melting ultrasonic and electrostatic adsorption, and to assess the antitumor effect of the preparations on A549 cells. The characterization and safety evaluation of the preparations illustrated that they are acceptable for drug delivery for cancer. Subsequently, differential scanning calorimetry (DSC) curve and transmission electron microscopy (TEM) images indicated that the drug was adequately incorporated in the carrier, and the particle appeared as a sphere. Moreover, HA-KA-NLC showed predominant in vitro antitumor effects, inhibiting proliferation, migration, and invasion, promoting apoptosis and increasing cellular uptake of A549 cells. Otherwise, the Western blot assay revealed that preparations could activate epithelial-mesenchymal transition (EMT)-related signaling pathways and modulate the expression of E-cadherin, N-cadherin, and Vimentin in A549 cells. Our present findings demonstrated that HA-KA-NLC could be considered as a secure and effective carrier for targeted tumor delivery and may have potential application prospects in future clinic therapy of NSCLC.


Introduction
Globally, lung cancer ranks first in malignant tumors, with the highest incidence and mortality, and it easily metastasizes to the bones [1], resulting in additional tumors [2]. Non-small cell lung cancer (NSCLC) makes up about 80% of lung cancer cases and is the most widespread and refractory pathological type [3]. NSCLC patients always have a poor prognosis and a low five-year survival rate [4]. Clinically, chemotherapy [5], radiation [6], and surgery are the common treatments for NSCLC, but they ordinarily have systemic side effects that limit the therapeutic efficacy.
Natural components have been gradually introduced for the treatment of tumors in clinic, not only improving the life quality of cancerous patients but also reducing harmful and toxic effects [7,8]. Kaempferol (KA) is a polyphenolic flavonoid that can be found in multifarious natural substances, such as grapefruit, gingko, tea, propolis, and so on, and

Optimization Analysis Using the BBD Method
The effect of critical factors was observed on dependent variables like EE% and DL%; a total of 17 experiments are listed in Table 1. The 3D response surface plots are shown in Figure 2. The following regression equations express the mathematical relationship between three independent variables and two dependent variables. The

Optimization Analysis Using the BBD Method
The effect of critical factors was observed on dependent variables like EE% and DL%; a total of 17 experiments are listed in Table 1. The 3D response surface plots are shown in Figure 2. The following regression equations express the mathematical relationship between three independent variables and two dependent variables.

Characterization of KA-NLC
EE% is an essential index of quality evaluation to visually reflect the drug loading capacity of the carrier, which is important for further applications. The EE% of optimized KA-NLC was determined to be 89.22 ± 2.33%, and the DL% was founded to be 2.96 ± 0.56%. According to the DSC thermogram ( Figure 3B), the characteristic endothermic peak of GMS and KA were 78 °C and 296 °C, respectively. Meanwhile, the typical peaks of both GMS and KA were observed in the physical mixture of KA and GMS. The DSC curve of The statistical significance of the regression model was checked by p-value. The results showed that A, C, A 2 , B 2 , and C 2 had a significant effect on EE% (p < 0.05), while A had a significant effect on the DL% (p < 0.05). A synergistic impact is shown by a positive sign, whereas an antagonistic effect is indicated by a negative sign [39]. The results derived from the experiment runs, the optimized formulation for KA-loaded NLC was prepared as follows: the ratio of lipid and drug = 34.72:1, the ratio of solid lipid and liquid lipid = 4:1, and surfactant concentration = 1% (w/v). The particle size, PDI, and Zeta potential of KA-NLC prepared in optimal conditions were 53.2 ± 2.1 nm, 0.274 ± 0.042, and −26.2 ± 1.4 mV, respectively. The particle size of drug delivery is an essential factor, and the particle size (<200 nm) was found to be acceptable for enhancing drug accumulation and increasing systemic circular time because of the enhanced permeability and retention (EPR) effect [40]. The narrow PDI value (0.274) indicated the favorable uniformity of nanoparticle distribution. In addition, the Zeta potential represented the migration velocity of the particles; ±30 mV was instrumental in stabilizing the NLC suspension system.

Characterization of KA-NLC
EE% is an essential index of quality evaluation to visually reflect the drug loading capacity of the carrier, which is important for further applications. The EE% of optimized KA-NLC was determined to be 89.22 ± 2.33%, and the DL% was founded to be 2.96 ± 0.56%. According to the DSC thermogram ( Figure 3B), the characteristic endothermic peak of GMS and KA were 78 • C and 296 • C, respectively. Meanwhile, the typical peaks of both GMS and KA were observed in the physical mixture of KA and GMS. The DSC curve of KA-NLC showed a peak at an intensity of 236.4 • C, which was slightly less than the intensity of pure KA, indicating the internal crystal structure of KA was devastated. The results confirmed that KA was successfully encapsulated inside the lipid matrix of NLC. Simultaneously, the shape and surface morphology of KA-loaded NLC were evaluated by TEM. The TEM images ( Figure 3C) showed a spherical shape and homogeneous dispersion of nanoparticles, which confirmed our method could be successfully used to prepare KA-NLC. KA-NLC showed a peak at an intensity of 236.4 °C, which was slightly less than the intensity of pure KA, indicating the internal crystal structure of KA was devastated. The results confirmed that KA was successfully encapsulated inside the lipid matrix of NLC. Simultaneously, the shape and surface morphology of KA-loaded NLC were evaluated by TEM. The TEM images ( Figure 3C) showed a spherical shape and homogeneous dispersion of nanoparticles, which confirmed our method could be successfully used to prepare KA-NLC.

Characterization of HA-KA-NLC
In our study, the negative charge presenting on the surface of KA-NLC was exploited for deposition of the cationic polymer PEI, following a modified layer of the anionic polysaccharide HA. Accordingly, to ensure appropriate absorption of KA-NLC, the amount of PEI and HA required to reverse the charge of nanoparticles in each step was optimized by the change of the Zeta potential procedure.
The results are shown in Figure 4A: the increase of PEI led to an inflection point; after the concentration of PEI reached 1%, the Zeta potential was reversed to a positive charge (+7.8 ± 0.7 mV), and the particle size of nanoparticles was 74.3 ± 2.5 nm at this concentration.
When the concentration of HA increased to 2% during the assembly process, the particle size increased to 92.7 ± 4.6 nm and 97.6 ± 4.3 nm in HA20-KA-NLC and HA130-KA-NLC ( Figure 4B), respectively. The increment in particle size after modification by HA was insignificant, as electrostatic interaction between HA and PEI resulted in a stable sta-

Characterization of HA-KA-NLC
In our study, the negative charge presenting on the surface of KA-NLC was exploited for deposition of the cationic polymer PEI, following a modified layer of the anionic polysaccharide HA. Accordingly, to ensure appropriate absorption of KA-NLC, the amount of PEI and HA required to reverse the charge of nanoparticles in each step was optimized by the change of the Zeta potential procedure.
The results are shown in Figure 4A: the increase of PEI led to an inflection point; after the concentration of PEI reached 1%, the Zeta potential was reversed to a positive charge (+7.8 ± 0.7 mV), and the particle size of nanoparticles was 74.3 ± 2.5 nm at this concentration.

In Vitro Drug Release Study
The release pattern of KA, KA-NLC, HA20-KA-NLC, and HA130-KA-NLC is shown in Figure 5. At the end of 8 h, it was observed that the release of KA was 82.12 ± 2.42% and 79.96 ± 3.74% in pH 5.5 and pH 7.4, respectively, while the release of KA from KA-NLC did not reach 50% at the time both in pH 5.5 and 7.4. The results showed an initial burst release (37.47 ± 3.97% and 40.47 ± 3.68%) of KA-NLC formulation in the first 4 h of the study. It was possible that the unencapsulated drug presented on the surface of NLC. Moreover, the release of KA from HA20-KA-NLC and HA130-KA-NLC was lower than KA-NLC. This phenomenon might be due to KA being entrapped in the NLC core and the surface being modified by HA, increasing the barriers for the drug release. The sustained When the concentration of HA increased to 2% during the assembly process, the particle size increased to 92.7 ± 4.6 nm and 97.6 ± 4.3 nm in HA 20 -KA-NLC and HA 130 -KA-NLC ( Figure 4B), respectively. The increment in particle size after modification by HA was insignificant, as electrostatic interaction between HA and PEI resulted in a stable status with the small particle size. Meanwhile, the surface charge decreased to −16.6 ± 1.5 mV and −18.9 ± 1.8 mV in HA 20 -KA-NLC and HA 130 -KA-NLC ( Figure 4C), respectively. Collectively, the noticeable switching of Zeta potential suggested a successive modification and realized a layer by layer structure. Additionally, the TEM images ( Figure 4D,E) also overly illustrated that the surface of KA-NLC was abundantly modified by HA.
The stability study results suggested that the change of preparations was inconspicuous when observed with the eye after 30 days. Results are illustrated in the Figure 4F-H; the parameters of KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC fluctuated within a certain range, but within acceptable limits, which showed that the preparations were stable in 30 days.

In Vitro Drug Release Study
The release pattern of KA, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC is shown in Figure 5. At the end of 8 h, it was observed that the release of KA was 82.12 ± 2.42% and 79.96 ± 3.74% in pH 5.5 and pH 7.4, respectively, while the release of KA from KA-NLC did not reach 50% at the time both in pH 5.5 and 7.4. The results showed an initial burst release (37.47 ± 3.97% and 40.47 ± 3.68%) of KA-NLC formulation in the first 4 h of the study. It was possible that the unencapsulated drug presented on the surface of NLC. Moreover, the release of KA from HA 20 -KA-NLC and HA 130 -KA-NLC was lower than KA-NLC. This phenomenon might be due to KA being entrapped in the NLC core and the surface being modified by HA, increasing the barriers for the drug release. The sustained release pattern may delay the drug's exposure in tumor cells, thereby potentially enhancing the curative effect. However, there was no obvious difference in release behavior obtained from HA 20 -KA-NLC and HA 130 -KA-NLC.

Safety Evaluation of Preparations In Vitro
The safety of the delivery carrier is an essential aspect for effective application; thus, the cytotoxicity and hemolysis of preparations were undertaken. The cell viability treated with different concentrations of blank-NLC was above 85% ( Figure 6A), which revealed that the NLC we designed is safe and hypotoxic. At the same time, the result of in vitro hemolysis assay ( Figure 6B) displayed that the upper layer of the blank-NLC, KA-NLC, HA20-KA-NLC, HA130-KA-NLC, and the negative control group were approximately colorless with erythrocyte precipitation in the lower layer, while the positive control group was light red. The hemolysis percentage of blank-NLC, KA-NLC, HA20-KA-NLC, and HA130-KA-NLC groups were 2.44 ± 0.15%, 1.02 ± 0.09%, 2.52 ± 0.28%, and 1.86 ± 0.19%, respectively, indicating no apparent hemolysis effect in the samples, which could be used for subsequent studies.

Evaluation of Cell Viability by CCK-8 Assay
The results ( Figure 7A) showed that the cell viability has significant concentration dependence, in the range of 0.01-100 µmol/L in A549 cells. The cell viability of KA showed no or very little decline at low concentration due to its poor water solubility. Meanwhile, KA-NLC, HA20-KA-NLC, and HA130-KA-NLC showed remarkable inhibiting viability ef-

Safety Evaluation of Preparations In Vitro
The safety of the delivery carrier is an essential aspect for effective application; thus, the cytotoxicity and hemolysis of preparations were undertaken. The cell viability treated with different concentrations of blank-NLC was above 85% ( Figure 6A), which revealed that the NLC we designed is safe and hypotoxic. At the same time, the result of in vitro hemolysis assay ( Figure 6B) displayed that the upper layer of the blank-NLC, KA-NLC, HA 20 -KA-NLC, HA 130 -KA-NLC, and the negative control group were approximately colorless with erythrocyte precipitation in the lower layer, while the positive control group was light red. The hemolysis percentage of blank-NLC, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC groups were 2.44 ± 0.15%, 1.02 ± 0.09%, 2.52 ± 0.28%, and 1.86 ± 0.19%, respectively, indicating no apparent hemolysis effect in the samples, which could be used for subsequent studies.

Safety Evaluation of Preparations In Vitro
The safety of the delivery carrier is an essential aspect for effective application; thus, the cytotoxicity and hemolysis of preparations were undertaken. The cell viability treated with different concentrations of blank-NLC was above 85% ( Figure 6A), which revealed that the NLC we designed is safe and hypotoxic. At the same time, the result of in vitro hemolysis assay ( Figure 6B) displayed that the upper layer of the blank-NLC, KA-NLC, HA20-KA-NLC, HA130-KA-NLC, and the negative control group were approximately colorless with erythrocyte precipitation in the lower layer, while the positive control group was light red. The hemolysis percentage of blank-NLC, KA-NLC, HA20-KA-NLC, and HA130-KA-NLC groups were 2.44 ± 0.15%, 1.02 ± 0.09%, 2.52 ± 0.28%, and 1.86 ± 0.19%, respectively, indicating no apparent hemolysis effect in the samples, which could be used for subsequent studies.

Evaluation of Cell Viability by CCK-8 Assay
The results ( Figure 7A) showed that the cell viability has significant concentration dependence, in the range of 0.01-100 µmol/L in A549 cells. The cell viability of KA showed no or very little decline at low concentration due to its poor water solubility. Meanwhile, KA-NLC, HA20-KA-NLC, and HA130-KA-NLC showed remarkable inhibiting viability effects toward A549 cells at all concentrations compared with the control group. Moreover, the IC50 value ( Figure

Evaluation of Cell Viability by CCK-8 Assay
The results ( Figure 7A) showed that the cell viability has significant concentration dependence, in the range of 0.01-100 µmol/L in A549 cells. The cell viability of KA showed no or very little decline at low concentration due to its poor water solubility. Meanwhile, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC showed remarkable inhibiting viability effects toward A549 cells at all concentrations compared with the control group. Moreover, the IC 50 value ( Figure  proliferation. The IC50 value significantly decreased in HA20-KA-NLC and HA130-KA-NLC compared with KA-NLC, which indicated that modification by HA decreased the cell viability. The enhanced cell proliferation inhibition of HA20-KA-NLC and HA130-KA-NLC may be associated with the special recognition of HA to the CD44 receptor, which increased the intracellular drug accumulation. Nevertheless, it is apparent that HA20-KA-NLC greatly decreased the proliferating capacity.

EdU Staining Assay for the Evaluation of Cell Proliferation
Following CCK-8 assay, we performed an EdU assay to further observe the inhibitory ability in cell proliferation of different preparations. In the proliferation images (Figure 8), red is the nucleus in the proliferative state, and blue is the nucleus of all cells. The positive cell rate of control, KA, KA-NLC, HA20-KA-NLC, and HA130-KA-NLC were 46.70%, 40.68%, 34.82%, 16.20%, and 23.75% in A549 cells, respectively. The results illustrate that the treatment of KA-NLC decreased the positive cell rate compared with KA, and the modification of HA significantly decreased the positive cell rate. Taken together, the above results show that the preparations have the significant ability of inhibiting cell proliferation, and HA20-KA-NLC has the best antitumor activity.

EdU Staining Assay for the Evaluation of Cell Proliferation
Following CCK-8 assay, we performed an EdU assay to further observe the inhibitory ability in cell proliferation of different preparations. In the proliferation images ( proliferation. The IC50 value significantly decreased in HA20-KA-NLC and HA130-KA-NLC compared with KA-NLC, which indicated that modification by HA decreased the cell viability. The enhanced cell proliferation inhibition of HA20-KA-NLC and HA130-KA-NLC may be associated with the special recognition of HA to the CD44 receptor, which increased the intracellular drug accumulation. Nevertheless, it is apparent that HA20-KA-NLC greatly decreased the proliferating capacity.

EdU Staining Assay for the Evaluation of Cell Proliferation
Following CCK-8 assay, we performed an EdU assay to further observe the inhibitory ability in cell proliferation of different preparations. In the proliferation images (Figure 8), red is the nucleus in the proliferative state, and blue is the nucleus of all cells. The positive cell rate of control, KA, KA-NLC, HA20-KA-NLC, and HA130-KA-NLC were 46.70%, 40.68%, 34.82%, 16.20%, and 23.75% in A549 cells, respectively. The results illustrate that the treatment of KA-NLC decreased the positive cell rate compared with KA, and the modification of HA significantly decreased the positive cell rate. Taken together, the above results show that the preparations have the significant ability of inhibiting cell proliferation, and HA20-KA-NLC has the best antitumor activity.

Clone Formation Assay for the Evaluation of Cell Proliferation
For evaluating the effect of the different preparations on the activity of the cells, the clone formation assay was applied. Consistent with the cell viability assay and EdU assay, the result of the clone formation assay (Figure 9) indicated that the number of cell clones treated by KA-NLC was reduced compared with that by KA. However, the formation of clones further declined due to the HA modified on KA-NLC, but the inhibitory effect of clone formation of HA 20 -KA-NLC was slightly stronger than HA 130 -KA-NLC, which was accordant with the results of the CCK-8 and EdU assay.

Clone Formation Assay for the Evaluation of Cell Proliferation
For evaluating the effect of the different preparations on the activity of the cells, the clone formation assay was applied. Consistent with the cell viability assay and EdU assay, the result of the clone formation assay (Figure 9) indicated that the number of cell clones treated by KA-NLC was reduced compared with that by KA. However, the formation of clones further declined due to the HA modified on KA-NLC, but the inhibitory effect of clone formation of HA20-KA-NLC was slightly stronger than HA130-KA-NLC, which was accordant with the results of the CCK-8 and EdU assay.

Evaluation of Cell Migration by Wound Healing Assay
The migratory ability of cells was reflected by the wound area with different preparation treatments. As shown in Figure 10, the cell migration rate of the control group was 83.66% in A549 cells at 24 h, showing the wound had nearly healed. Nonetheless, the KA-NLC group had a lower migration rate compared with KA group at 12 h and 24 h, indicating that the nanosystem effectively improved the problem of poor water solubility of KA. Furthermore, the migration rate in HA20-KA-NLC and HA130-KA-NLC groups were lower than in the KA-NLC group both at 12 h and 24 h, which clearly confirmed the role of HA in targeting the A549 cells. However, the inhibitory effect of cell migration in the HA20-KA-NLC group was stronger than that in the HA130-KA-NLC group in A549 cells.

Evaluation of Cell Migration by Wound Healing Assay
The migratory ability of cells was reflected by the wound area with different preparation treatments. As shown in Figure 10, the cell migration rate of the control group was 83.66% in A549 cells at 24 h, showing the wound had nearly healed. Nonetheless, the KA-NLC group had a lower migration rate compared with KA group at 12 h and 24 h, indicating that the nanosystem effectively improved the problem of poor water solubility of KA. Furthermore, the migration rate in HA 20 -KA-NLC and HA 130 -KA-NLC groups were lower than in the KA-NLC group both at 12 h and 24 h, which clearly confirmed the role of HA in targeting the A549 cells. However, the inhibitory effect of cell migration in the HA 20 -KA-NLC group was stronger than that in the HA 130 -KA-NLC group in A549 cells.

Clone Formation Assay for the Evaluation of Cell Proliferation
For evaluating the effect of the different preparations on the activity of the cells, the clone formation assay was applied. Consistent with the cell viability assay and EdU assay, the result of the clone formation assay (Figure 9) indicated that the number of cell clones treated by KA-NLC was reduced compared with that by KA. However, the formation of clones further declined due to the HA modified on KA-NLC, but the inhibitory effect of clone formation of HA20-KA-NLC was slightly stronger than HA130-KA-NLC, which was accordant with the results of the CCK-8 and EdU assay.

Evaluation of Cell Migration by Wound Healing Assay
The migratory ability of cells was reflected by the wound area with different preparation treatments. As shown in Figure 10, the cell migration rate of the control group was 83.66% in A549 cells at 24 h, showing the wound had nearly healed. Nonetheless, the KA-NLC group had a lower migration rate compared with KA group at 12 h and 24 h, indicating that the nanosystem effectively improved the problem of poor water solubility of KA. Furthermore, the migration rate in HA20-KA-NLC and HA130-KA-NLC groups were lower than in the KA-NLC group both at 12 h and 24 h, which clearly confirmed the role of HA in targeting the A549 cells. However, the inhibitory effect of cell migration in the HA20-KA-NLC group was stronger than that in the HA130-KA-NLC group in A549 cells.

Evaluation of Cell Migration and Invasion by Transwell Assay
NSCLC cells generally have strong migration and invasion ability, which is an essential indicator of tumor metastasis in vivo; thus, we used 24 h Transwell assay to evaluate the function of the drug delivery carrier in inhibiting cell migration and invasion. From Figure 11, it can be seen that the migrated cell numbers in the KA group declined compared with the control group, and the migrated cell numbers further declined in KA-NLC group. The capability of cell migration obviously declined in the HA 20 -KA-NLC and HA 130 -KA-NLC groups, and the difference was statistically significant compared with KA-NLC. Moreover, the results of the invasion assay were similar to those of the migration assay. This may have relevance to preparations that could inhibit the spread of cells, enhance the intercellular adhesion ability, and prevent the movement of tumor cells by inhibiting the EMT process of NSCLC cells. Nonetheless, the targeting delivery effect of HA 20 -KA-NLC was more predominant than that of HA 130 -KA-NLC in A549 cells both in migration and invasion assays.

Evaluation of Cell Migration and Invasion by Transwell Assay
NSCLC cells generally have strong migration and invasion ability, which is an essential indicator of tumor metastasis in vivo; thus, we used 24 h Transwell assay to evaluate the function of the drug delivery carrier in inhibiting cell migration and invasion. From Figure 11, it can be seen that the migrated cell numbers in the KA group declined compared with the control group, and the migrated cell numbers further declined in KA-NLC group. The capability of cell migration obviously declined in the HA20-KA-NLC and HA130-KA-NLC groups, and the difference was statistically significant compared with KA-NLC. Moreover, the results of the invasion assay were similar to those of the migration assay. This may have relevance to preparations that could inhibit the spread of cells, enhance the intercellular adhesion ability, and prevent the movement of tumor cells by inhibiting the EMT process of NSCLC cells. Nonetheless, the targeting delivery effect of HA20-KA-NLC was more predominant than that of HA130-KA-NLC in A549 cells both in migration and invasion assays.

Analysis of Apoptosis Activity by Hoechst Staining Assay
Hoechst staining assay was conducted to judge the apoptosis effects of the KAloaded formulations. The images are shown in Figure 12. There was no substantial alteration in KA and control groups; the nuclei visualized feebly and homogenously with blue color. However, the phenomenon of little nuclear fragmentation and shrinkage in the nu-

Analysis of Apoptosis Activity by Hoechst Staining Assay
Hoechst staining assay was conducted to judge the apoptosis effects of the KA-loaded formulations. The images are shown in Figure 12. There was no substantial alteration in KA and control groups; the nuclei visualized feebly and homogenously with blue color. However, the phenomenon of little nuclear fragmentation and shrinkage in the nucleus appeared in the KA-NLC group. In contrast, the number of apoptosis cells conspicuously increased in HA 20 -KA-NLC and HA 130 -KA-NLC groups, and the HA 20 -KA-NLC group increased the proportion of cells that had some typical apoptosis features, with obvious nuclei pyknosis or karyolysis [41]. This phenomenon indicated that the modification of HA enhanced the accumulation of KA in cells and induced the apoptosis of cells, which could be the reason for the high selectivity of HA toward NSCLC cells; however, the mechanism needs to be further explored. To summarize, HA 20 -KA-NLC showed the best targeted capability among all preparations, as evidenced by the above assays.
cleus appeared in the KA-NLC group. In contrast, the number of apoptosis cells conspicuously increased in HA20-KA-NLC and HA130-KA-NLC groups, and the HA20-KA-NLC group increased the proportion of cells that had some typical apoptosis features, with obvious nuclei pyknosis or karyolysis [41]. This phenomenon indicated that the modification of HA enhanced the accumulation of KA in cells and induced the apoptosis of cells, which could be the reason for the high selectivity of HA toward NSCLC cells; however, the mechanism needs to be further explored. To summarize, HA20-KA-NLC showed the best targeted capability among all preparations, as evidenced by the above assays.

Cellular Uptake of Different Preparations
To assess the efficacy of the preparations modified by HA in NSCLC cells that CD44 overexpressed, we performed the cellular uptake experiments. The cellular uptake assay can circumstantially prove the advantages of the preparations, including the effect of drug delivery in improving drug defects and enhancing the targeted efficiency. The drug concentration used in this experiment was 40 µmol/L, since the survival rates of cells treated with CUR, CUR-NLC, HA20-CUR-NLC, and HA130-CUR-NLC were greater than 80% at this concentration.
As presented in Figure 13, the fluorescence intensity of all groups was enhanced during the incubation time. Nevertheless, after incubation with the CUR group for 4 h, faint green fluorescence was detected inside cells, whereas that in the CUR-NLC group was markedly higher. The much stronger green fluorescence in the cytoplasm of HA20-CUR-NLC and HA130-CUR-NLC groups demonstrated that the cellular uptake effect was highly enhanced compared with unmodified NLC at each time point. This also distinctly confirmed the crucial role of HA in targeting the tumor and penetrating process; the modification of HA in KA-NLC may be responsible for efficient internalization into NSCLC via CD44 receptor-mediated endocytosis.
Meanwhile, the possible mechanism is that when HA-modified preparations were taken up into the cells, HA was broken down by hyaluronidase, then exposed the cationic core, in which ammonia groups in PEI were protonated, leading to the occurrence of the proton sponge effect and the rupture of the lysosomal membrane [42]. Finally, the drug was released into the cytoplasm or nucleus. Nonetheless, the transport mechanism of the intracellular drugs will need further investigation. However, the fluorescence intensity of the HA130-CUR-NLC group was markedly lower than that of the HA20-CUR-NLC group at the predetermined times. This result corresponds with the other assays, which confirmed the superior targeting ability of HA20-CUR-NLC for A549 cells.

Cellular Uptake of Different Preparations
To assess the efficacy of the preparations modified by HA in NSCLC cells that CD44 overexpressed, we performed the cellular uptake experiments. The cellular uptake assay can circumstantially prove the advantages of the preparations, including the effect of drug delivery in improving drug defects and enhancing the targeted efficiency. The drug concentration used in this experiment was 40 µmol/L, since the survival rates of cells treated with CUR, CUR-NLC, HA 20 -CUR-NLC, and HA 130 -CUR-NLC were greater than 80% at this concentration.
As presented in Figure 13, the fluorescence intensity of all groups was enhanced during the incubation time. Nevertheless, after incubation with the CUR group for 4 h, faint green fluorescence was detected inside cells, whereas that in the CUR-NLC group was markedly higher. The much stronger green fluorescence in the cytoplasm of HA 20 -CUR-NLC and HA 130 -CUR-NLC groups demonstrated that the cellular uptake effect was highly enhanced compared with unmodified NLC at each time point. This also distinctly confirmed the crucial role of HA in targeting the tumor and penetrating process; the modification of HA in KA-NLC may be responsible for efficient internalization into NSCLC via CD44 receptor-mediated endocytosis.

The Influence of Different Preparations on EMT
Lung cancer metastasis is a complex and multistep process; invasion and metastasis processes always exist in the early stages. An integral role of epithelial-mesenchymal transition (EMT) is the significant advance of the progression of malignant tumors [43]. EMT is mainly characterized by the absence of epithelial cell phenotypic markers (E-cadherin) and the acquisition of mesenchymal cell phenotypic markers (N-cadherin and Vimentin). E-cadherin is a major molecule that mediates the tight junctions between homotypic cells. The main reason for the downregulation of E-cadherin expression is the conversion of Ncadherin by the conversion of calmodulin during EMT, which has an indispensable connection with tumor progression, metastatic potential, and poor prognosis in cancer. Meanwhile, Vimentin is an intermediate fibrous-type protein that increases the motility of the tumor cells and is highly expressed when the EMT process occurs. The expressions of EMT-related proteins were appraised by Western blot assay to preliminarily investigate Meanwhile, the possible mechanism is that when HA-modified preparations were taken up into the cells, HA was broken down by hyaluronidase, then exposed the cationic core, in which ammonia groups in PEI were protonated, leading to the occurrence of the proton sponge effect and the rupture of the lysosomal membrane [42]. Finally, the drug was released into the cytoplasm or nucleus. Nonetheless, the transport mechanism of the intracellular drugs will need further investigation. However, the fluorescence intensity of the HA 130 -CUR-NLC group was markedly lower than that of the HA 20 -CUR-NLC group at the predetermined times. This result corresponds with the other assays, which confirmed the superior targeting ability of HA 20 -CUR-NLC for A549 cells.

The Influence of Different Preparations on EMT
Lung cancer metastasis is a complex and multistep process; invasion and metastasis processes always exist in the early stages. An integral role of epithelial-mesenchymal transition (EMT) is the significant advance of the progression of malignant tumors [43]. EMT is mainly characterized by the absence of epithelial cell phenotypic markers (E-cadherin) and the acquisition of mesenchymal cell phenotypic markers (N-cadherin and Vimentin). E-cadherin is a major molecule that mediates the tight junctions between homotypic cells. The main reason for the downregulation of E-cadherin expression is the conversion of N-cadherin by the conversion of calmodulin during EMT, which has an indispensable connection with tumor progression, metastatic potential, and poor prognosis in cancer. Meanwhile, Vimentin is an intermediate fibrous-type protein that increases the motility of the tumor cells and is highly expressed when the EMT process occurs. The expressions of EMT-related proteins were appraised by Western blot assay to preliminarily investigate the possible mechanism of preparations against A549 cells.
As shown in Figure 14,

Materials
Kaempferol  Briefly, the treatment of different preparations resulted in the upregulation of Ecadherin, while the expression of N-cadherin and Vimentin were downregulated. These results provide evidence that KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC had a stronger influence than free KA on impeding the EMT process in NSCLC cells. The reason may be that KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC increased cellular uptake of the drug compared with KA, thereby regulating EMT-related protein expression. Meanwhile, as seen from the results of the above experiments, the inhibitory effect of HA 20 -KA-NLC on EMT was better than that of HA 130 -KA-NLC in A549 cells.

Preparation of KA-Loaded NLC
In this experiment, GMS with a phase transition temperature of 67 • C, and oleic acid with a phase transition temperature of 8 • C, were utilized as solid and liquid lipid, respectively. KA-NLC was prepared by the melting ultrasonic method [44] according to the following procedure; 0.02 g KA, 0.45 g GMS, and 0.15 g oleic acid were mixed and heated under magnetic stirring as the oil phase; 0.3 g Poloxamer 188 was dissolved and heated in 30 mL ultrapure water as the aqueous phase. The aqueous phase was gently and evenly introduced to the oil phase with continuous stirring to make the primary emulsion once both the oil and aqueous phases had completely dissolved and the temperature had reached 80 • C. Further, the obtained emulsion was dispersed evenly by a JY92-II ultrasonic cell grinder (Ningbo Xinzhi Biological Technology Co., Ltd., Ningbo, China) and then chilled and solidified at −20 • C to acquire KA-NLC.
The blank-NLC was prepared as described above without the addition of KA. NLC loaded with CUR was made in the same way, but with CUR instead of KA, and utilized in the cellular uptake experiment.

Optimization of KA-NLC
The preparation process is one of the most vital components in the effective production of the NLC formulation. Many variables of formulation and process parameters influenced the result of EE% and DL%, such as the ratio of lipid, surfactant concentration, mixing speed, ultrasonic time, and ultrasonic power. Based on the preliminary experiments, the three main factors that affected the EE% and DL% were used to further optimize the formulation by the Box-Behnken Design (BBD) method [45]. The three independent factors (the ratio of lipid and drug (20:1-40:1)-A, the ratio of solid lipid and liquid lipid (3:1-5:1)-B, surfactant concentration (1-1.5%, w/v)-C) were observed for two dependent factors (EE%-Y 1 , and DL%-Y 2 ); Table 2 shows the experimental range of the factors as well as the response constraints. The average particle size distribution and polydispersity index (PDI) were evaluated by the dynamic light scattering method. The Zeta potential of preparations was measured by the Zetasizer Nano-ZS90 (Malvern Instruments, Malvern, UK).

DSC Analysis
The thermal behavior of KA, GMS, the physical mixture of KA and GMS, and blank-NLC and KA-NLC were analyzed by DSC-100L differential scanning calorimetry (Nanjing Dazhan Electrical Technology Company, Nanjing, China). Each sample was accurately weighed, packed in an aluminum pan, and scanned at a temperature of up to 360 • C (rate 10 • C/min) in Nitrogen. The DSC curve was obtained using the empty aluminum pan as a reference [46].

Transmission Electron Microscopy
To characterize the surface morphology and internal structure of preparations, a handful of preparations were diluted 10 times and added to the carbon-covered copper grid (230 mesh). The grid was dried at 37 • C for 30 min, then carried out by JEM-2100 Plus transmission electron microscopy (JEOL, Tokyo, Japan) [47].

Preparation of HA-KA-NLC
The modification of HA through the active electrostatic adsorption method. The cationic polymer PEI was chosen as the intermediary for connection, providing the cationic core, following absorption of the anionic HA. High molecular weight PEI (>25 kDa) has a slow systemic clearance process, which may lead to the accumulation of the polymer in the body. However, low molecular weight PEI (≤2000 Da) can be more easily eliminated from the body, which has superior degradability and less cytotoxicity compared with high molecular weight PEI [48]. So, we elected to use 1800 Da PEI for the modification of the carrier. HA-KA-NLC was prepared by adding PEI to the oil phase; the remaining steps are the same as above. Finally, HA solutions were added to the suspension under stirring. The change of Zeta potential determined the optimal concentration of PEI and HA.

Entrapment Efficiency and Drug Loading of Preparations
Ultrafiltration centrifugation technique [49] was used to determine the EE% and DL%. A total of 2 mL KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC was added into the ultrafiltration centrifuge tube and centrifuged at 10,000 rpm for 15 min; then, the ultrafiltrate was analyzed by a UV-1800 UV-Visible spectrometer (Shimadzu, Tokyo, Japan) at 268 nm to obtain the weight of free KA. Thereafter, the same batch of KA-NLC was diluted with methanol, and the total weight of KA was measured. Ultimately, EE% and DL% were computed as follows:

Stability of Preparations
The optimally prepared KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC were stored at room temperature for 1 month for the stability study, and the relevant parameters were measured.

In Vitro Drug Release Study
The in vitro drug release behaviors of different preparations were investigated by the dialysis technique. A total of 3 mL of KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC suspensions was incorporated into the pre-treated dialysis membrane. Then, the dialysis membrane was incubated in buffer media, which was PBS with pH 5.5 and pH 7.4 [50]. The samples were tested at 37 • C with continuous stirring, and 1 mL of the buffer media was withdrawn at 1, 2, 3, 4, 5, 6, 8, 10, 14, 18, and 24 h, and an equal amount of fresh buffer media was added. Subsequently, the drug content was calculated at each time point using a UV-Visible spectrometer at 268 nm and then plotted the in vitro release curve.

Cytotoxicity Study
The cytotoxicity of blank-NLC was investigated using the Cell Counting Kit-8 (CCK-8) assay [52]. A549 cells were inoculated into 96-well plates (5000 cells/well) and cultured overnight at 37 • C and 5% CO 2 . Then, the blank-NLC suspension with concentrations of 0, 5, 10, 20, 40, 60, 80, 100, and 120 µmol/L was added into the wells for 24 h. There were 5 wells in each group. After removing the drug-containing medium, 100 µL of incomplete medium containing 10% CCK-8 was left to incubate for 4 h. Untreated cells were considered as control, and the medium served as the blank background. Subsequently, using a SpectraMax M3 microplate reader (Molecular Devices, San Jose, CA, USA), the OD value was obtained at 480 nm; then, the cell viability was calculated.

Hemolysis Activity
Red blood cell suspensions (RBCs) with blank-NLC, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC were observed to evaluate the safety of hemolysis. The animal test was done according to the guidelines of the Animal Care and Ethics Committee of Mudanjiang Medical University (authorization number: 20210326-9). Fresh mouse blood was obtained from SD male rats; then, the blood was placed in an anticoagulation tube and centrifuged at 3000 rpm for 8 min until the supernatant was clear. The solid deposits were diluted with physiological saline to make 3% RBCs. An appropriate amount of physiological saline, blank-NLC, KA-NLC, HA 20 -KA-NLC, HA 130 -KA-NLC, and ultrapure water was mixed with RBCs at 37 • C for 3 h, respectively, then centrifuged for 5000 rpm for 3 min. Then, the OD value of the supernatant was measured by a SpectraMax M3 microplate reader at 540 nm, and the hemolysis percentage of samples was calculated using the following equation. The RBCs incubated with physiological saline and ultrapure water served as the negative and positive control, respectively [53].

EdU Staining Assay
The CCK-8 assay was used to assess the whole proliferation status of the cells, while the EdU incorporation assay can detect individual cells in a proliferative state [56], which could directly reflect the anti-proliferative effect of the preparations on A549 cells. The cells were incubated in 24-well plates (5 × 10 5 cells/well) and cultured for 12 h at 37 • C and 5% CO 2 . After that, the cells were treated with serum-free medium containing equal concentrations of KA, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC for 4 h. An EdU kit was utilized to perform the EdU assay; then, the cells were fixed with 4% paraformaldehyde for 10 min and stained for 20 min in darkness with DAPI solution. After PBS was washed, the cell proliferation was observed and photographed by a FV3000 confocal laser scanning microscope (CLSM, Olympus, Tokyo, Japan); then, the positive cell rate was calculated.

Clone Formation Assay
Clone formation assay was performed to explore the inhibitory ability of different preparations in the growth of tumor cells [57]. A549 cells were inoculated into 6-well plates (500 cells/well), with the treatment of KA, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC for 14 days. The formative clones were stained with 0.1% crystal violet for 5 min; then, the number of clones was observed and counted.

Transwell Assay
Cell migration assay: 500 µL of serum-containing culture medium was added into the 24-well plates, and 200 µL of cell suspension with serum-free medium containing KA, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC was added to the upper chamber (5 × 10 4 cells) [59]. After incubation for 24 h, the uninvaded cells of the upper layer were wiped away, and the chamber was fixed with 4% paraformaldehyde for 15 min and stained with 0.1% crystal violet for 15 min. Finally, the stained cells in 5 visual fields were randomly counted and photographed under microscope. Cell invasion assay: diluted Matrigel covered the membrane of the chamber for 4 h prior to the procedure; the remaining steps were identical to the migration assay.

Apoptosis Assay
A549 cells were inoculated into 24-well plates (5 × 10 4 cells/well); then, KA, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC were added to the wells for 4 h. Then, they were fixed with 4% paraformaldehyde for 15 min, stained with Hoechst 33,342 for 20 min, and the apoptosis morphological alteration of the cell nucleus was observed by CLSM [60].

Cellular Uptake Assay
To explore the internalized effect of the NLC and HA modified NLC on A549 cells, the cellular uptake assay was evaluated by CLSM using CUR as a fluorescent probe. Briefly, the CUR-loaded NLC was similarly prepared, while KA was replaced with CUR. A549 cells were incubated in 24-well plates (3 × 10 5 cells/well) and cultured for 12 h at 37 • C and 5% CO 2 . Then, CUR, CUR-NLC, HA 20 -CUR-NLC, and HA 130 -CUR-NLC of the same concentration were co-cultured with cells for 1, 2, and 4 h. Afterward, the cells were fixed with 4% paraformaldehyde for 10 min and stained with DAPI for 5 min [61]. Finally, the images of cellular uptake of different preparations were photographed by CLSM.

Western Blot Assay
In order to preliminarily clarify the antitumor mechanism of preparations, the protein expression levels of E-cadherin, N-cadherin, and Vimentin were evaluated by Western blot assay. A549 cells were inoculated into 6-well plates (3 × 10 5 cells/well), with the treatment of KA, KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC for 24 h. The total proteins were extracted from the cells using RIPA lysis solution and determined by the BCA method, and SDS-PAGE was conducted to segregate proteins by their molecular weight. Next, the proteins were deposited onto PVDF membranes, which were blocked for 2 h with 5% defatted milk [62]. Finally, after the primary antibodies and secondary antibody incubated, the proper enhanced chemiluminescent (ECL) reagent was used to visualize the protein blot, and Image J software (National Institutes of Health, Bethesda, MD, USA) was used for quantification.

Conclusions
In the present study, KA-NLC was produced by the melting ultrasonic method, and the optimized nanoparticles showed suitable Zeta potential, low particle size, narrow PDI distribution, superior stability, and high DL% and EE%. Subsequently, KA-NLC was modified by HA with two molecular weights using the electrostatic adsorption method for targeting NSCLC. Then, the drug release pattern of KA-NLC, HA 20 -KA-NLC, and HA 130 -KA-NLC showed a sustained release, indicating uniform encapsulation of KA in preparations. According to the in vitro pharmacodynamic assays, HA 20 -KA-NLC and HA 130 -KA-NLC demonstrated dramatic antitumor and tumor-targeting effects on A549 cells. Furthermore, the expression of EMT-associated proteins was significantly modulated in the Western blot assay, indicating that preparations might also exert antitumor activity via suppressing EMT in A549 cells. The in vitro antitumor effect of HA 20 -KA-NLC should be noted; it was significantly stronger than that of HA 130 -KA-NLC. In summary, the selectively targeted delivery carrier we synthesized showed superiority in promoting the treatment efficiency of NSCLC, which might be a novel and promising approach for future clinical investigations of lung cancer. However, the present study didn't involve the in vivo experiments; thus, we intend to inject NSCLC cells into mice for tumorigenic experiments and further investigate the effect of the preparations on the NSCLC of mice in future study.