Hybrid Radiobioconjugated Superparamagnetic Iron Oxide-Based Nanoparticles for Multimodal Cancer Therapy

Superparamagnetic iron oxide nanoparticles (SPIONs) are widely used for biomedical applications for their outstanding properties such as facile functionalization and doping with different metals, high surface-to-volume ratio, superparamagnetism, and biocompatibility. This study was designed to synthesize and investigate multifunctional nanoparticle conjugate to act as both a magnetic agent, anticancer immunological drug, and radiopharmaceutic for anticancer therapy. The carrier, 166Ho doped iron oxide, was coated with an Au layer, creating core-shell nanoparticles ([166Ho] Fe3O4@Au. These nanoparticles were subsequently modified with monoclonal antibody trastuzumab (Tmab) to target HER2+ receptors. We describe the radiobioconjugate preparation involving doping of a radioactive agent and attachment of the organic linker and drug to the SPIONs’ surface. The size of the SPIONs coated with an Au shell measured by transmission electron microscopy was about 15 nm. The bioconjugation of trastuzumab onto SPIONs was confirmed by thermogravimetric analysis, and the amount of two molecules per one nanoparticle was estimated with the use of radioiodinated [131I]Tmab. The synthesized bioconjugates showed that they are efficient heat mediators and also exhibit a cytotoxic effect toward SKOV-3 ovarian cancer cells expressing HER2 receptors. Prepared radiobioconjugates reveal the high potential for in vivo application of the proposed multimodal hybrid system, combined with magnetic hyperthermia and immunotherapy against cancer tissues.

The basis of hyperthermia relies on the fact that elevated temperatures localized within a tumor can damage and/or kill malignant cancer cells within the body. Numerous cell studies have shown that hyperthermia causes programmed cell death (apoptosis) as well important feature for their possible medical applications [41]. Holmium radioisotope 166 Ho (t 1/2 = 26.8 h) is attractive as it emits high-energy beta radiation, which can be used for a therapeutic effect and gamma radiation, which can be used for nuclear imaging purposes. Since the holmium element is monoisotopic ( 165 Ho has a natural abundance of 100%), the target is relatively cheap and the only product in neutron irradiation is 166 Ho. Various 166 Ho radiopharmaceuticals are now used in cancer therapy, such as 166 Ho-labelled microspheres for brachytherapy, 166 Ho labeled chitosan for hepatocellular carcinoma, and 166 Ho bisphosphonates for bone metastases [42,43].
Unfortunately, our preliminary studies with 166 Ho labeled SPIONs showed a large 40% leakage of 166 Ho into the solution, making it impossible for therapeutical applications. It is caused by the larger size of the ionic radius of Ho 3+ in comparison to the Fe 3+ cations. To prevent the leakage of 166 Ho, we proposed to cover the 166 Ho-labeled SPIONs with a thin layer of Au atoms creating 166 Ho-SPION@Au core-shell nanoparticles.
In this work, we present a facile synthesis of radioactive SPIONs doped with 166 Ho radioisotope and coated with a gold layer against holmium leaking from the structure of the magnetic core. To target cancer cells, 166 Ho-SPION@Au nanoparticles were conjugated with a trastuzumab-monoclonal antibody, HER2 receptor antagonist. Obtained radiobioconjugate was tested for stability, dispersity, and receptor affinity. Then, the radiobioconjugate was tested with the use of magnetic hyperthermia (MH) to evaluate the specific rate absorption and optimize the MH parameters such as alternating magnetic field amplitude and frequency to reach the temperature required for the apoptosis of cells. Finally, cytotoxicity and apoptosis tests were performed to test the antitumor activity of the radiobioconjugate on cancer cells through the combined effects of β-radiation and magnetic hyperthermia.
SKOV-3 (HER2-positive) and MDA-MB-231 (HER2-negative) cell lines were obtained from the American Type Culture Collection (ATCC, Rockville, MD, USA) and cultured in McCoy's 5A and DMEM mediums, respectively. The cell culture mediums were enriched with 10% heat-inactivated fetal bovine serum, streptomycin (100 µg/mL), and penicillin (100 IU/mL). Cells were cultured in a humidified atmosphere with 5% CO 2 at 37 • C according to ATCC protocol. Before their in vitro use, cells were detached using trypsin-EDTA (0.25%). All reagents for cell growth were purchased from Biological Industries (Beth Haemek, Israel).

Synthesis and Modification of [ 166 Ho]Fe 3 O 4
The synthesis of radio-labeled SPIONs was performed using a co-precipitation technique based on our previous work in which non-radioactive holmium was incorporated into the superparamagnetic structure [41] 3(aq) solution in 2 mL Eppendorf type tube with a magnetic stirrer (1400 rpm) in 75 • C for 15 min, analogically to the synthesis performed for non-radioactive SPION. To stabilize the SPIONs, 110 mg of trisodium citrate dihydrate (CA) in 300 µL of DI water was added. The reaction was carried out for an additional 30 min with mixing and heating at 75 • C. The synthesis scheme is presented in Figure 1. The product was separated with magnetic sedimentation, washed two times with cold acetone, and dispersed in 1 mL of DI water.

Synthesis and Modification of [ 166 Ho]Fe3O4
The synthesis of radio-labeled SPIONs was performed using a co-precipitation technique based on our previous work in which non-radioactive holmium was incorporated into the superparamagnetic structure [41]. The [ 166 Ho]Fe3O4 nanoparticles were synthesized from the following solutions: 53.249 mg FeCl3·6H2O in 500 μL of DI water, 19.881 mg of FeCl2·4H2O 250 μL of deionized (DI) water, and 1.192 mg of [ 166 Ho]HoCl3·6H2O in 200 μL of DI water. Nanoparticles were synthesized by co-precipitation of these solutions with 28% NH3(aq) solution in 2 mL Eppendorf type tube with a magnetic stirrer (1400 rpm) in 75 °C for 15 min, analogically to the synthesis performed for non-radioactive SPION. To stabilize the SPIONs, 110 mg of trisodium citrate dihydrate (CA) in 300 μL of DI water was added. The reaction was carried out for an additional 30 min with mixing and heating at 75 °C. The synthesis scheme is presented in Figure 1. The product was separated with magnetic sedimentation, washed two times with cold acetone, and dispersed in 1 mL of DI water.

Synthesis of Core-Shell [ 166 Ho]Fe3O4@Au Nanoparticles
To synthesize the gold shell around citrate stabilized 166 Ho doped Fe3O4 core, a modified method published by H. Zhou et al. was used [44]. Briefly, to a round bottom flask, 1.6-32 mg of AuCl3·3H2O solution in DI water was added with the pH set to 6-7 with 0.1 M NaOH. Gold chloride solution was set to boil under reflux with mixing at 600 rpm. When the boiling point was reached, the nanoparticles suspension was added. The coating reaction was performed for 30 min with continuous stirring. The product was purified by magnetic sedimentation, washed several times with DI water, and finally suspended in 1 mL. Figure 2 shows a schematic image of the Au-coating procedure.   [44]. Briefly, to a round bottom flask, 1.6-32 mg of AuCl 3 ·3H 2 O solution in DI water was added with the pH set to 6-7 with 0.1 M NaOH. Gold chloride solution was set to boil under reflux with mixing at 600 rpm. When the boiling point was reached, the nanoparticles suspension was added. The coating reaction was performed for 30 min with continuous stirring. The product was purified by magnetic sedimentation, washed several times with DI water, and finally suspended in 1 mL. Figure 2 shows a schematic image of the Au-coating procedure.

Synthesis of [ 166 Ho]Fe 3 O 4 @Au-Tmab Bioconjugate
In a 2 mL Eppendorf type tube, 1 mL of core-shell nanoparticles (NPs) was mixed with 5 mg of HS-PEG-NHS ester, 5 kDa. The reaction pH was set to 7 with 0.1 M NaOH. The pegylation reaction of the NPs was carried on a magnetic stirrer for 2 h at room temperature. The product was then separated from the unbound PEG linker by magnetic separation. After that, 500 µL of 10 mM PBS solution and 250 µg of trastuzumab were added to PEG-covered core-shell nanoparticles. A conjugation reaction was performed overnight at 1000 rpm and room temperature. Finally, bioconjugate was separated by magnetic sedimentation and washed several times with DI water. The product was stored at 4 • C in a lead casing for further studies. The scheme for radiobioconjugate synthesis is presented in Figure 3.

Synthesis of [ 166 Ho]Fe3O4@Au-Tmab Bioconjugate
In a 2 mL Eppendorf type tube, 1 mL of core-shell nanoparticles (NPs) was mixed with 5 mg of HS-PEG-NHS ester, 5 kDa. The reaction pH was set to 7 with 0.1 M NaOH. The pegylation reaction of the NPs was carried on a magnetic stirrer for 2 h at room temperature. The product was then separated from the unbound PEG linker by magnetic separation. After that, 500 μL of 10 mM PBS solution and 250 μg of trastuzumab were added to PEG-covered core-shell nanoparticles. A conjugation reaction was performed overnight at 1000 rpm and room temperature. Finally, bioconjugate was separated by magnetic sedimentation and washed several times with DI water. The product was stored at 4 °C in a lead casing for further studies. The scheme for radiobioconjugate synthesis is presented in Figure 3.

Quantification of the Number of Trastuzumab Molecules Per One Nanoparticle
The average number of Tmab molecules conjugated to each [ 166 Ho]Fe3O4@Au nanoparticle was determined by a method based on coupling [ 131 I]-labeled trastuzumab to nanoparticles by using the procedure described earlier by Cędrowska et al. [40] Briefly, 1 mg of trastuzumab in 200 μL of 0.01 M PBS was radioiodinated with 131 I (10-15 MBq) by using tubes coated with 10 μg of dried Iodogen. After 10 min of incubation, the radioiodinated

Synthesis of [ 166 Ho]Fe3O4@Au-Tmab Bioconjugate
In a 2 mL Eppendorf type tube, 1 mL of core-shell nanoparticles (NPs) was mixed with 5 mg of HS-PEG-NHS ester, 5 kDa. The reaction pH was set to 7 with 0.1 M NaOH. The pegylation reaction of the NPs was carried on a magnetic stirrer for 2 h at room temperature. The product was then separated from the unbound PEG linker by magnetic separation. After that, 500 μL of 10 mM PBS solution and 250 μg of trastuzumab were added to PEG-covered core-shell nanoparticles. A conjugation reaction was performed overnight at 1000 rpm and room temperature. Finally, bioconjugate was separated by magnetic sedimentation and washed several times with DI water. The product was stored at 4 °C in a lead casing for further studies. The scheme for radiobioconjugate synthesis is presented in Figure 3.

Quantification of the Number of Trastuzumab Molecules Per One Nanoparticle
The average number of Tmab molecules conjugated to each [ 166 Ho]Fe3O4@Au nanoparticle was determined by a method based on coupling [ 131 I]-labeled trastuzumab to nanoparticles by using the procedure described earlier by Cędrowska et al. [40] Briefly, 1 mg of trastuzumab in 200 μL of 0.01 M PBS was radioiodinated with 131 I (10-15 MBq) by using tubes coated with 10 μg of dried Iodogen. After 10 min of incubation, the radioiodinated

Radiostability Studies
To perform the radiostability studies, 10 µL of freshly synthesized [ 166 Ho]Fe 3 O 4 @Au (AuCl 3 ·3H 2 O coating from 1.6-32 mg) nanoparticles and [ 166 Ho]Fe 3 O 4 @Au-Tmab radiobioconjugate were added to 500 µL of DI water, human serum, and 0.9% NaCl solution to examine radio stability. Samples were incubated from 1 to 72 h in RT for saline and aqueous solutions and at 37 • C for human serum. For each measurement, 5 µL of the sample was mixed with 10 mM diethylenetriaminepentaacetic acid (DTPA) solution at 1:1 ratio (v/v) and placed onto iTLC plate. Additionally, 0.1 M citrate buffer pH 5.5 was used as a mobile phase (nanoparticles R f = 0-0.1, free holmium-166 R f = 0.8-0.9).

In Vitro Cytotoxicity Studies
Cytotoxicity studies were performed by MTS colorimetric assay for increasing the concentration of [Ho]Fe 3 O 4 @Au, [Ho]Fe 3 O 4 @Au-PEG, [Ho]Fe 3 O 4 @Au-Tmab (0.78-400 µg/mL) and c.a. 166 HoCl 3 ·(0.05-30 MBq/mL). SKOV3 cells were seeded 24 h before the experiment in 96-well plates at a density of 2.0 × 10 3 per well. Then the cells were washed with PBS and treated with increasing concentrations of the studied compounds, to a volume of 100 µL. Seeded cells were incubated with compounds for 18 h, washed twice with 100 µL of PBS, and incubated for another 24, 48, and 72 h at 37 • C. Next, an MTS assay was added to each well, and plates were incubated for an additional 2 h at 37 • C in the dark. Lastly, the absorbance was measured at 490 nm using the Apollo 11LB913 microplate reader, Berthold (Bad Wildbad, Germany). The results are presented as cell viability (%) in comparison to the control not treated with the studied compounds.

Binding Specificity Studies
The binding affinity of [Ho]Fe 3 O 4 @Au-[ 131 I]Tmab radiobioconjugates towards HER2 receptors was studied on SKOV-3 (HER2+) and MDA-MB-231 (HER2−) cell lines. Tested radiobioconjugate was incubated with cells in the presence (blocked) or absence (nonblocked) of 100× molar excess of trastuzumab. Briefly, 8 × 10 4 cells per well were seeded onto 24-well plates and incubated for 24 h at 37 • C. After that, the cells were washed twice with PBS and radiobioconjugate solution was added to each well and incubated for 2 h at 4 • C. Next, the compound containing medium was removed and collected, cells were washed twice with cold PBS which was also collected. Finally, the cells were lysed with 1 M NaOH and the lysed fraction was collected as well. Unbound and bound fractions were measured on the Wizard 2 ® automatic gamma counter.

Techniques
The morphology of SPIONs was determined with Transmission Electron Microscopy (TEM), Zeiss Libra 120 Plus, Stuttgart, Germany, operating at 120 kV. Complementary to TEM studies, the dynamic light scattering (DLS) method was used to analyze the hydrodynamic size of as-synthesized SPIONs and bioconjugated composite. DLS measurements were carried out with Malvern Instruments Zetasizer Nano ZS, Malvern, UK. The confirmation of successful bioconjugation was investigated using thermogravimetric analysis-(TGA Q50 (TA Instruments)), New Castle, PA, USA, under a nitrogen atmosphere. The magnetic hyperthermia (MH) experiments were performed with nanoScale Biomagnetics D5 Series equipment with CAL1 CoilSet. The specific absorption rate (SAR) values were estimated using MaNIaC Controller software (nB nanoScale Biomagnetics, Zaragoza, Spain).

Synthesis and Structural Characterization
The 166 Ho@Fe 3 O 4 nanoparticles were successfully prepared by the co-precipitation method. We can expect that Ho 3+ analogously incorporates into Fe 3 O 4 structure as it was observed previously in the synthesis of SPIONs doped with non-radioactive Ho 3+ cations [9]. Based on X-ray studies, authors found that up to 2.5% of Ho 3+ content, the crystalline structure of Fe 3 O 4 , was retained, in which some of the Fe 3+ atoms were replaced The efficiency of 166 Ho incorporation into Fe 3 O 4 samples was 91.62 ± 6.35%. To prevent leakage of 166 Ho, the obtained 166 HoFe 3 O 4 samples were covered with a gold layer, and then the monoclonal antibody was attached via a PEG linker. The coverage efficiency of the gold attachment was 95-99% and the efficiency of trastuzumab binding was 49.57%.
The morphology studies of synthesized structures were performed with the transmission electron microscopy (TEM). As can be seen in Figure 4a, there are core-based holmium doped SPIONs coated with gold (darker objects) and some that remained uncovered with Au (grey structures, stabilized with citrates only). The latter can be caused by the gold agglomeration around the SPIONs in aqueous media. They have well-defined and roughly spherical shapes with a measured average diameter below 20 nm. The gold covers the nanoparticles on the whole surface. Figure 4b presents the SPIONs that were additionally coated with PEG. Despite the presence of some bare SPIONs, the sample contains many nanoparticles that are coated with gold. The organic (PEG) shell is visible as a somehow "misty" ring surrounding each nanoparticle (red arrows). In the case of additional bioconjugation of PEG-coated SPIONs, the trastuzumab is present as the light greyish layer around the whole surface, coating all nanoparticles, see Figure 4c, red arrows. The following image presents the bioconjugate after the magnetic hyperthermia studies, see Figure 4d. As can be seen in this image, the drug is released from the surface.
Further studies show the hydrodynamic size of the nanoparticles measured by the dynamic light scattering technique are complementary to the TEM analysis. Measurements were performed in 1mM phosphate buffer saline pH 7.5 (PBS). As can be seen in Table 1 for measurements, the size of bare NPs evaluated by DLS was notably larger than that measured by TEM (10.3 ± 1.2 nm). The difference was observed because TEM and DLS are different techniques, since DLS determines the hydrodynamic diameter which includes the solvation layers. In the case of the TEM technique dehydration of the nanoparticles' surface takes place in the vacuum environment of TEM and the diameter of bare nanoparticles is measured. The following results indicate the same tendency confirming hydrophilic properties of the conjugate. Au-coated NPs are about 50% larger than bare SPIONs, suggesting that gold forms a shell rather than biding to SPIONs in the form of nanoparticles. Next, the hydrodynamic size of the bioconjugate is above 90 nm confirming the presence of larger objects onto the SPIONs' surface. Additionally, the zeta potential was measured to estimate the presence of the functional groups on the SPIONs' surface. Bare SPIONs have a negatively charged oxide surface. When SPIONs are coated with gold their surface potential is shifted towards highly negative values (−42.6 ± 6.1 mV). The reduction of gold and oxidation of surface-bound citrate still gives a negative surface potential (−43.8 ± 6.95 mV). Attachment of HS-PEG-NHS ester shifts zeta potential towards more positive values (−39.5 ± 5.6 mV), however within the standard deviation. After conjugation of 149 kDa positively charged protein, the surface potential shifts significantly to −25.2 ± 5.21 mV. High standard deviation values are probably caused by a high concentration of NPs, ionic strength of solvent, and possible aggregation. However, surface potential values lower than −30.0 mV indicate that obtained NPs are stable in the studied medium.  Further studies show the hydrodynamic size of the nanoparticles measured by the dynamic light scattering technique are complementary to the TEM analysis. Measurements were performed in 1mM phosphate buffer saline pH 7.5 (PBS). As can be seen in Table 1 for measurements, the size of bare NPs evaluated by DLS was notably larger than that measured by TEM (10.3 ± 1.2 nm). The difference was observed because TEM and DLS are different techniques, since DLS determines the hydrodynamic diameter which includes the solvation layers. In the case of the TEM technique dehydration of the nanoparticles' surface takes place in the vacuum environment of TEM and the diameter of bare nanoparticles is measured. The following results indicate the same tendency confirming hydrophilic properties of the conjugate. Au-coated NPs are about 50% larger than bare SPIONs, suggesting that gold forms a shell rather than biding to SPIONs in the form of nanoparticles. Next, the hydrodynamic size of the bioconjugate is above 90 nm confirming the presence of larger objects onto the SPIONs' surface. Additionally, the zeta potential was measured to estimate the presence of the functional groups on the SPIONs' surface. Bare SPIONs have a negatively charged oxide surface. When SPIONs are coated with gold their surface potential is shifted towards highly negative values (−42.6 ± 6.1 mV). The reduction of gold and oxidation of surface-bound citrate still gives a negative surface potential (−43.8 ± 6.95 mV). Attachment of HS-PEG-NHS ester shifts zeta potential towards

UV-Vis Spectrometry Studies
UV-Vis spectra were acquired for nanoparticles before and after coating to check for the presence of Au plasmon absorption with a characteristic peak. The results presented in Figure 5 show two spectra, where the blue curve corresponds to the bare SPIONs, and the red corresponds to the SPIONs coated with gold, respectively. The visible broad band, having a maximum absorption at about 550 nm, is characteristic of the gold presence on the surface. The presence of that band proves the formation of a thin film of metallic gold around [ 166 Ho]Fe 3 O 4 core. Depending on the film thickness and particle size, the Pharmaceutics 2021, 13, 1843 9 of 17 color of the NPs' suspension can vary from brown through red, and purple to blue [45,46], depending on the NP size.

UV-Vis Spectrometry Studies
UV-Vis spectra were acquired for nanoparticles before and after coating to check for the presence of Au plasmon absorption with a characteristic peak. The results presented in Figure 5 show two spectra, where the blue curve corresponds to the bare SPIONs, and the red corresponds to the SPIONs coated with gold, respectively. The visible broad band, having a maximum absorption at about 550 nm, is characteristic of the gold presence on the surface. The presence of that band proves the formation of a thin film of metallic gold around [ 166 Ho]Fe3O4 core. Depending on the film thickness and particle size, the color of the NPs' suspension can vary from brown through red, and purple to blue [45,46], depending on the NP size.

Thermogravimetric Analysis
The attachment of PEG-NHS and Tmab to [ 166 Ho]Fe3O4@Au was confirmed with thermogravimetric analysis (TGA) under the ambient atmosphere in the temperature range from room temperature to 650 °C, with a heating rate of 10 °C/min. The gradual mass loss while heating can be related to the decomposition of organic compounds modifying the surface of the nanoparticles. As can be seen in Figure 6, the mass loss for bare SPIONs is ca. 3% and can be caused by the presence of the water adsorbed in the sample. Gradual further mass loss of [ 166 Ho]Fe3O4@CA is about 18% due to the presence of organic citrates on the SPIONs' surface. In the case of gold-covered SPIONs ([Ho]Fe3O4@Au), the mass

Thermogravimetric Analysis
The attachment of PEG-NHS and Tmab to [ 166 Ho]Fe 3 O 4 @Au was confirmed with thermogravimetric analysis (TGA) under the ambient atmosphere in the temperature range from room temperature to 650 • C, with a heating rate of 10 • C/min. The gradual mass loss while heating can be related to the decomposition of organic compounds modifying the surface of the nanoparticles. As can be seen in Figure 6, the mass loss for bare SPIONs is ca. 3% and can be caused by the presence of the water adsorbed in the sample. Gradual further mass loss of [ 166 Ho]Fe 3 O 4 @CA is about 18% due to the presence of organic citrates on the SPIONs' surface. In the case of gold-covered SPIONs ([Ho]Fe 3 O 4 @Au), the mass decrease with heating is about 4%, closer to the bare SPIONs. It is caused by the fact that a substantial amount of citrates were used for Au 3+ reduction on the iron oxide surface. In the case of the [Ho]Fe 3 O 4 @Au-Tmab sample, we see a large decrease in mass due to decomposition of the attached protein and linker agent indicating the successful attachment of PEG linker and Tmab to the nanoparticle.  Since the linker and Tmab decompose together, the thermogravimetry technique was not suitable for the estimation of the amount of antibody on the surface of the nanocarrier. Therefore, we used 131 I-labeled trastuzumab during the synthesis of bioconjugates. Since the linker and Tmab decompose together, the thermogravimetry technique was not suitable for the estimation of the amount of antibody on the surface of the nanocarrier. Therefore, we used 131 I-labeled trastuzumab during the synthesis of bioconjugates.

Estimation of the Number of Attached Trastuzumab Per One Magnetite Nanoparticle
To determine the number of Tmab molecules attached to one nanoparticle, [Ho]Fe 3 O 4 @Au synthesis of bioconjugate using 131 I-labeled trastuzumab was performed. Based on the obtained results, the amount of [ 131 I]Tmab per mg of Fe 3 O 4 core was found to be 118.93 µg with a coupling efficiency of 49.57 ± 6.23%. Having this value, the number of bound trastuzumab molecules per one [Ho]Fe 3 O 4 @Au nanoparticle was calculated. The calculations were carried out assuming that each nanoparticle is spherical and has a diameter of 18 nm (measured by TEM) and the magnetite density is 5.2 g/cm 3 (we neglected the mass of attached Au). The obtained results indicate that approximately 2 trastuzumab molecules were coupled to one [Ho]Fe 3 O 4 @Au nanoparticle.

Hyperthermia Studies
Magnetic properties of the SPIONs doped with holmium conjugated with trastuzumab were studied within our previous work [41], giving a foundation for further exploration of bioconjugates based on [Ho]Fe 3 O 4 @Au NPs in the magnetic hyperthermia. In this work, magnetic hyperthermia studies were performed for [ 166 Ho]Fe 3 O 4 @Au-Tmab radiobioconjugate in the human serum. The medium was chosen to have similar viscosity to the biological fluids, so the 0.5 mL of the aqueous suspension, having a density of 11 mg/mL, was inserted into the thermostated copper coil and the temperature changes were measured with an alternating magnetic field in the frequency range from 345.45 kHz to 759.05 kHz and with an amplitude from 75 G up to 200 G. Measurements were performed to reach the 45 • C (318 K) with a measuring range of error ±0.5 • C, and the SAR value along with the heating rate of the suspension were measured. The most common parameter allowing estimation of heat conversion efficacy of the sample is SAR, defined as the power P [W] generated per mass m [g] of nanoparticles. Such parameters depend on the magnetic field H [kA/m] and frequency of the magnetic field f [Hz], although the intrinsic loss power ILP parameter is also widely used: ILP = SAR/f * H 2 [47].
As can be seen in Figure 7a,b, the temperature of the suspension for 100 G and 150 G at various frequencies of alternating magnetic field increases as a function of time. The fastest rise was generated for the highest frequency of the magnetic field (759.05 kHz), while a decrease of such parameters leads to the decrease of the measured temperature. From a biomedical point of view, the sample should reach a plateau at the temperature in the range 42-46 • C and it should be kept constant for several minutes with a frequency of the alternating magnetic field and its amplitude as low as possible, due to the Brezovich limit for such therapy [48,49]. The majority of current literature reports pristine nanoparticles of the different core compositions. However, there are also numerous reports on surface-modified SPIONs [50]. Several of these cited literatures even report on magnetic nanoparticles covered with phosphorylated mPEG or thiolated PEG. The reported SAR values are within the range of 85 W/g (hydroxyapatite-coated SPIONs [51]), through 248 W/g (for thiolated PEG terminated with folic acid as targeting vector molecule [52]), to as high as 3050 W/g [53], or 1018 W/g for Mn 0.6 Zn 0.4 Fe 2 O 4 nanospheres [54]. All the reported SAR values, apart from the field intensities and frequencies used in these works, depended strongly on size, shape, and the content of the core.
limit for such therapy [48,49]. Figure 7c shows optimal parameters for attaining the plateau at 45 °C are 759.05 kHz along with 75 G, and 488.00 kHz with 100 G for which the SAR values are about 54.3 and 72.7 W/g, respectively. The SAR values shown in Figure 7d were calculated using a ZaR subprogram of MaNIaC 1.0 Software, Nanoscale Biomagnetics, Zaragoza, Spain, with the following equation:  The majority of current literature reports pristine nanoparticles of the different core compositions. However, there are also numerous reports on surface-modified SPIONs [50]. Several of these cited literatures even report on magnetic nanoparticles covered with phosphorylated mPEG or thiolated PEG. The reported SAR values are within the range of 85 W/g (hydroxyapatite-coated SPIONs [51]), through 248 W/g (for thiolated PEG However, to the best of our knowledge, there were no further constructs, enlarging the thickness of the shell covering the iron oxide nanoparticles. Therefore, it is difficult to compare the SAR values of our new bioconjugates with the reported data. Nevertheless, we are inclined to consider our results quite reasonable, referring them to the work on nanoparticle nanoclusters of 50-100 nm, coated with thiolated PEG with folic acid (FA) vector [52]. The value of SAR = 248 W/g reported in their work, was obtained for the product of field intensity × frequency equal to 1.8 × 10 9 A·m −1 ·s −1 being below the Brezovich physiological limit (5 × 10 9 A·m −1 ·s −1 ). Our value of SAR = 72.3 W/g obtained for nanoparticles each covered separately with a PEG-Tmab organic shell, is ca. three times smaller (for 3.9 × 10 9 A·m −1 ·s −1 ). Nevertheless, we feel quite confident that the synthesized radiobioconjugates are efficient heat mediators for the further studies described below.

Stability of Radiobioconjugates
Radiobioconjugate [ 166 Ho]Fe 3 O 4 @Tmab was characterized by low stability due to the radioisotope leakage from the core of the nanoparticles as high as 40% after 24 h of incubation in 0.9% NaCl. Due to that, we proposed synthesizing a protective gold shell to prevent said leakage. The obtained results of the stability of a gold shell-protected core and radiobioconjugate are presented in Figure 8.

Stability of Radiobioconjugates
Radiobioconjugate [ 166 Ho]Fe3O4@Tmab was characterized by low stabi radioisotope leakage from the core of the nanoparticles as high as 40% incubation in 0.9% NaCl. Due to that, we proposed synthesizing a protectiv prevent said leakage. The obtained results of the stability of a gold shelland radiobioconjugate are presented in Figure 8. Obtained stability results are comparable for both tested compou nanoparticle and radiobioconjugate, as well as for all used solutions. N changes in core stability were observed at examined time intervals, and observed leakage did not exceed ~13%. This leads to the conclusion that protective gold shell provides stabilization of the core doped with radioac and prevents leakage up to 72 h of incubation in various media a radioactivities. Additionally, the coating provides an opportunity for easy of the surface of nanoparticles with a thiol-reactive agent with a known af gold surfaces. Radiobioconjugate is characterized by overall high stability human serum, which is crucial for further application as a radiopharmaceut the gold-coating procedure carried out under rather harsh conditions (see p in a decrease of specific activity of the obtained radionuclide-labeled nanop Obtained stability results are comparable for both tested compounds-core-shell nanoparticle and radiobioconjugate, as well as for all used solutions. No significant changes in core stability were observed at examined time intervals, and the maximum observed leakage did not exceed~13%. This leads to the conclusion that the proposed protective gold shell provides stabilization of the core doped with radioactive holmium and prevents leakage up to 72 h of incubation in various media at the studied radioactivities. Additionally, the coating provides an opportunity for easy modification of the surface of nanoparticles with a thiol-reactive agent with a known affinity towards gold surfaces. Radiobioconjugate is characterized by overall high stability (>90-95%) in human serum, which is crucial for further application as a radiopharmaceutical. However, the gold-coating procedure carried out under rather harsh conditions (see p. 2.3) resulted in a decrease of specific activity of the obtained radionuclide-labeled nanoparticles to the level of up to 30 MBq/mL. Unfortunately, such a low specific activity makes it impossible to carry out biological tests, even on cells.
Therefore, in further studies, we limited the cytotoxicity tests only to the non-radioactive bioconjugates. In this case, we expected the cytotoxicity to be related to magnetic hyperthermia and immunological properties of Tmab.

In Vitro Cytotoxicity Results
The results of cytotoxicity obtained via MTS colorimetric assay are presented in bioconjugate demonstrate higher toxicity than trastuzumab alone and also SPION nanoparticles without an @Au shell, which is presented in a previously published paper [41]. Thus, we can see that the Tmab in the bioconjugate plays not only a targeting role but also increases the cytotoxicity of nanoparticles.
Therefore, in further studies, we limited the cytotoxicity tests only to the non-radioactive bioconjugates. In this case, we expected the cytotoxicity to be related to magnetic hyperthermia and immunological properties of Tmab.

In Vitro Cytotoxicity Results
The results of cytotoxicity obtained via MTS colorimetric assay are presented in Figure 9a-c. Cytotoxicity is displayed as cell viability percentage of cells, treated with nanoparticles suspension in comparison to non-treated cells incubated with medium only. The viability of the control group is set to 100%. Tests were performed on SKOV-3 (HER2+).

Binding Affinity
The binding affinity of [Ho]Fe 3 O 4 -[ 131 I]Tmab radiobioconjugate to HER2 receptors was examined on SKOV-3 (HER2+) and MDA-MB-231 (HER2−) cell lines. Tested radiobioconjugate was incubated in the presence (blocked) or absence of a 100-fold molar excess of non-labeled trastuzumab. The results are presented in Figure 10.
A significant difference (5.43%, p < 0.05) in the binding of radiobioconjugate was observed between non-blocked (12.47 ± 0.11%) and blocked (7.04 ± 0.45%) trastuzumab SKOV-3, which indicates specific binding ( Figure 10). As expected, no such significant difference (p > 0.05) was observed for the HER2− blocked (4.23 ± 0.59%) and non-blocked (4.01 ± 0.70%) MDA-MB-231 cell line. This lack of binding for the used HER2− cell line additionally confirms the specificity of the binding of tested radiobioconjugate. Unfortunately, as expected, a high background coming from radiobioconjugate was observed for both tested cell lines similar to our previous experiences with trastuzumab modified barium ferrite NPs [55]. Binding of [Ho]Fe 3 O 4 @Au-[ 131 I]Tmab to MDA-MB-231 and blocked SKOV-3 cells can be caused by sedimentation of nanoparticles in cell culture media due to opsonization and a long incubation period during the experiment, as the studies were performed in static conditions. However, specificity of binding was found similar to other trastuzumab-modified nanoparticles [55,56]. difference (p > 0.05) was observed for the HER2− blocked (4.23 ± 0.59%) and non-blocke (4.01 ± 0.70%) MDA-MB-231 cell line. This lack of binding for the used HER2− cell lin additionally confirms the specificity of the binding of tested radiobioconjugate. Unfortu nately, as expected, a high background coming from radiobioconjugate was observed fo both tested cell lines similar to our previous experiences with trastuzumab modified bar ium ferrite NPs [55]. Binding of [Ho]Fe3O4@Au-[ 131 I]Tmab to MDA-MB-231 and blocke SKOV-3 cells can be caused by sedimentation of nanoparticles in cell culture media du to opsonization and a long incubation period during the experiment, as the studies wer performed in static conditions. However, specificity of binding was found similar to othe trastuzumab-modified nanoparticles [55,56].

Conclusions
Superparamagnetic iron oxide nanoparticles doped with β-emitter 166 Ho were syn thesized, coated with gold nanoparticles, and conjugated with a monoclonal antibody a a potential agent for combined targeted radionuclide therapy, and magnetic hyperther mia. We showed that covering [ 166 Ho]Fe3O4 nanoparticles with a layer of gold stabilize 166 Ho in the samples. However, the selected procedure results in a large decrease of spe cific activity of 166 Ho in nanoparticles. We are now recognizing other, milder syntheti procedures resulting in higher radioactivity of 166 Ho in the radiobioconjugate. The demon strated high receptor affinity of the radiobioconjugate should allow the cumulation of na noparticles in the targeted site. Trastuzumab-modified bioconjugates exhibited higher cy totoxicity than non-targeted [Ho]Fe3O4@Au-PEG conjugates. This effect against SKOV-

Conclusions
Superparamagnetic iron oxide nanoparticles doped with βemitter 166 Ho were synthesized, coated with gold nanoparticles, and conjugated with a monoclonal antibody as a potential agent for combined targeted radionuclide therapy, and magnetic hyperthermia. We showed that covering [ 166 Ho]Fe 3 O 4 nanoparticles with a layer of gold stabilizes 166 Ho in the samples. However, the selected procedure results in a large decrease of specific activity of 166 Ho in nanoparticles. We are now recognizing other, milder synthetic procedures resulting in higher radioactivity of 166 Ho in the radiobioconjugate. The demonstrated high receptor affinity of the radiobioconjugate should allow the cumulation of nanoparticles in the targeted site. Trastuzumab-modified bioconjugates exhibited higher cytotoxicity than non-targeted [Ho]Fe 3 O 4 @Au-PEG conjugates. This effect against SKOV-3 cells indicates that [ 166 Ho]Fe 3 O 4 @Au-Tmab radiobioconjugate, after the suitable redesign of synthesis to prevent radioactivity loss, can be a potent therapeutic agent against cancerous cells exhibiting overexpression of HER2 receptors, including breast and ovarian tumors. In addition, the confirmed superparamagnetic properties of radiobioconjugates allow for reaching temperatures used in mild hyperthermia and also make them suitable for guided delivery to the target tissues under the influence of an external magnetic field. The obtained results show that trastuzumab conjugated nanoparticles could be potentially used for the synergistic treatment of HER2+ breast and ovarian cancers. The designed NPs proved their binding specificity, also being comparable with other similar radiobioconjugates synthesized by our research group [55][56][57].