Cysteine string protein (CSP) ␣ is an abundant synaptic vesicle protein that contains a DNA-J domain characteristic of Hsp40-type cochaperones. Previous studies showed that deletion of CSP␣ in mice leads to massive lethal neurodegeneration but did not clarify how the neurodegeneration affects specific subpopulations of neurons. Here, we analyzed the effects of the CSP␣ deficiency on tonically active ribbon synapses of the retina and the inner ear. We show that CSP␣-deficient photoreceptor terminals undergo dramatic and rapidly progressive neurodegeneration that starts before eye opening and initially does not affect other retinal synapses. These changes are associated with progressive blindness. In contrast, ribbon synapses of auditory hair cells did not exhibit presynaptic impairments in CSP␣-deficient mice. Hair cells, but not photoreceptor cells or central neurons, express CSP, thereby accounting for the lack of a hair-cell phenotype in CSP␣ knockout mice. Our data demonstrate that tonically active ribbon synapses in retina are particularly sensitive to the deletion of CSP␣ and that expression of at least one CSP isoform is essential to protect such tonically active synapses from neurodegeneration.hair cell ͉ ribbon synapse ͉ electroretinogram ͉ chaperone ͉ blindness S ynaptic vesicle exo-and endocytosis is mediated by a sophisticated machinery that allows nerve terminals to operate at high speed (1). Such continuous membrane traffic requires specific mechanisms to deal with the use-dependent aging and denaturation of proteins. One such mechanism may involve the synaptic vesicle protein cysteine string protein (CSP) ␣ that is thought to function as a cochaperone in presynaptic terminals (2, 3).CSP␣ is an abundant presynaptic protein (4) that contains a string of cysteine residues and a DNA-J domain that functionally collaborates with the DNA-K domains of Hsc70 proteins (reviewed in refs. 5 and 6). CSP␣ activates the ATPase activity of Hsc70 (7,8) and forms a trimeric complex with Hsc70 and the tetratricopeptide repeat protein SGT (3). This complex catalyzes the ATP-dependent refolding of denatured luciferase (3). Invertebrates have a single CSP gene, whereas mammals express three CSP genes: CSP␣ that is widely distributed but highly enriched in brain, and CSP and CSP␥ that are primarily found in testis (2).Analyses of knockout (KO) mice revealed that CSP␣-deficient mice are relatively normal at birth but exhibit a progressive lethal phenotype that results in death after 2-4 months (2). Recordings in the Calyx of Held synapse of CSP␣ KO mice documented that CSP␣ is not required for N-, P͞Q-, and R-type Ca 2ϩ -channel function or Ca 2ϩ -triggered vesicle exocytosis. Instead, in the absence of CSP␣, the calyx synapse developed an age-dependent functional impairment, consistent with a role for CSP␣ as part of a molecular chaperone that makes it possible for synapses to keep running for extended time periods (2). Although this hypothesis was in agreement with previous observations in CSP-deficient flies (4), alt...