All four trans-stereoisomers of 7-(1-hydroxyethyl)-2-iso-oxacephem-4-carboxylic acids, which are the 2-iso-oxacephem analogues of Thienamycin, have been synthesized.(αR, 6R, 7R)-and (αS, 6S, 7S)-7-(1-hydroxyethyl)-3-methyl-2-iso-oxacephem-4-carboxylic acids have been prepared starting from l-and d-threonine, the configuration at the α-position was inverted by using Mitsunobu reactions providing the (αS, 6R, 7R)-and (αR, 6S, 7S)- ...