The nonmonotonic dependence of diffusion kurtosis on diffusion time has been observed in biological tissues, yet its relation to membrane integrity and cellular geometry remains to be clarified. Here we establish and explain the characteristic asymmetric shape of the kurtosis peak. We also derive the relation between the peak time , when kurtosis reaches its maximum, and tissue parameters. The peak shape and its position qualitatively follow from the adiabatic extension of the Kärger model onto the case of intra-cellular diffusivity time-dependence. This intuition is corroborated by the effective medium theory-based calculation, as well as by Monte Carlo simulations of diffusion and exchange in randomly and densely packed spheres for various values of permeability, cell fractions and sizes, and intrinsic diffusivity. We establish that is proportional to the geometric mean of two characteristic time scales: extra-cellular correlation time (determined by cell size) and intra-cellular residence time (determined by membrane permeability). When exchange is barrier-limited, the peak shape approaches a universal scaling form determined by the ratio . Numerical simulations and theory provide an interpretation of a specific feature of kurtosis time-dependence, offering a potential biomarker for in vivo evaluation of pathology by disentangling the functional (permeability) and structural (cell size) integrity in tissues. This is relevant as the time-dependent diffusion cumulants are sensitive to pathological changes in membrane integrity and cellular structure in diseases, such as ischemic stroke, tumors, and Alzheimer's disease.