Background/Aim: Matrix metalloproteinases (MMPs) are a family of proteins which are involved in breakdown of the extracellular matrix in embryonic development, tissue remodeling and in some diseases. MMP8 has both cancer-promoting and anticancer properties. However, the contribution of MMP8 to laryngeal squamous cell carcinoma (LSCC) has not been elucidated. In this study we aimed to test the contribution of two MMP8 polymorphisms, located in the gene promoter region, to the development of LSCC. Materials and Methods: This casecontrol study involved 569 DNA samples which were genotyped for two single nucleotide polymorphisms using realtime polymerase chain reaction method. Statistical analysis was performed with SPSS Statistics 20 software. Results: Regression analysis adjusted by age showed that for MMP8 rs11225395 each minor A allele copy significantly reduced the odds for LSCC development (odds ratio=0.49, 95% confidence intervaI=0.04-2.19, p=0.048). MMP8 rs11225395 AA genotype was associated with smaller laryngeal tumour size (p=0.023). Smoking habit also correlated with laryngeal tumor size. Conclusion: MMP8 rs11225395 and smoking habits have a prominent interface with LSCC tumour size.Laryngeal squamous cell carcinoma (LSCC) is the secondmost common type of head and neck cancer worldwide. It comprised 1.0% of all new cancer cases and 1.0% deaths in 2018 (1). In terms of histopathology, the dominant cancer form in this region is invasive laryngeal squamous cell carcinoma (2). The disease is typically diagnosed in the male patients, usually between the fifth and seventh decade of life (3), and is extremely rare in adolescents (4, 5).Tobacco smoking and alcohol consumption are the major risk factors for LSCC in developed countries (6). Both factors affect epigenetic reprogramming and genetic instability which induce oncogenesis (7). Tobacco smoking has a major impact on the onset of the disease and current-smokers have around a 20-fold higher risk of LSCC than never-smokers (6, 8). Heavy alcohol consumption is also an independent risk factor for LSCC, however, it has a weaker effect than smoking (increasing disease risk by 2-to 5-fold) (9). Both of these factors are considered to act synergistically. Combined alcohol and tobacco consumption confer multiplicative risk for heavy drinkers and smokers (6, 7). Other risk factors such as radiation, low vegetable intake, gastroesophageal reflux disease, viral infections with human papilomavirus oncogenes mutations and genomic instability are related in the mechanisms of development of LSCC (8-10).Matrix metalloproteinases (MMPs), also known as matrixins, are a family of zinc-dependent proteolytic enzymes that can degrade all protein components of the extracellular matrix (ECM) and basement membranes (11,12). MMPs are involved in various physiological processes e.g. in tissue morphogenesis and repair, ovulation, and angiogenesis (13,14). MMPs also play role in pathological conditions caused by excessive degradation of the ECM such as rheumatoid arthritis, periodontit...