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What are the differences between reversible and irreversible cell injury?
Posted January 26, 2023

Answer
Basis of differentiationReversible cell injuryIrreversible cell injury
Definition
Reversible cell injury is defined as cellular injury that can regain homeostasis and return to a morphologically and functional normal state
Is an injury to a cell that causes morphological changes that are permanent, and typically to the inner mechanisms of the cell
Duration of injury
Reversible cell injury an typically be stopped by removing or destroying the stimulus causing damage
Irreversible cell injury progresses and cannot return to normal state
Type of injury involved
Is typically the result of the beginning stages of lack of oxygen (hypoxia) and lack of blood flow to cells
It involves more agents such as viruses, genetic disadvantages, or immunological stimuli
Cellular Response
Reversible cell injury results in cellular swelling, cellular blebbing, fat accumulation 
Results in acidosis of the cellular environment, destruction of vital organelles and damage to membranes
Tissue response
Reversible cell injury causes noticeable swelling and increase in surface area at tissues
Irreversible cell injury causes necrosis and cell death 
Recovery
Reversible cell injury is pharmacologically treatable and recovery is possible
Irreversible cell injury causes permanent cell loss and death 
Mitochondrial changes 
Causes swelling and accumulation of phospholipid rich densities
Causes swelling and leakage of cytochrome C into the cell cytoplasm 
Nucleus/chromatin response  
Causes the formation of fibular elements in the nucleus
Causes the dissolution of chromatin