People spend a lot of time indoors and the indoor microbiome is a major part of the environment that we are exposed to. However, awareness of the exposure to the indoor microbiome and its health effects remains poor. Outdoor environment (soil and air), indoor sources (ventilation, dampness and building materials), human occupants, and pets compose the indoor microbial community. It has been estimated that up to 500-1000 different species can be present in house dust. House dust is a major source and reservoir of indoor microbiome, which influences human microbiome and determines health and disease. Herein, we review the origins and the components of the fungal and bacterial communities in house dust and their possible effect on human health, in particular on allergic disorders, intestinal microbiome, and immune responses. We expect to lay a solid foundation for the further study on the mechanisms of how the house dust microbes interact with the host microbiome and the human immune system. Keywords House dust microbiome. Fungal community. Bacterial community. Allergic diseases. Gut microbiome In urban environments, humans spend even 90% of their time indoors and are exposed to a wide range of microbial taxa present in house dust. Reduced contact with biodiversity associated with the environmental microbiome from soil and air may adversely affect human health and increase, e.g., the allergy risk (Hanski et al. 2012). Outdoor environment (soil and air), indoor sources (ventilation, dampness, and building materials), human occupants, and pets compose the indoor microbial community. It has been estimated that up to 500-1000 different species can be present in house dust (Rintala et al. 2012). Indoor fungal communities are mainly influenced by the outdoor environment, while indoor bacteria are more likely affected by occupants, pets, and ventilation methods (Barberan et al. 2015a; Meadow et al. 2014). A strong geographic pattern has been reported for indoor fungal communities (Amend et al. 2010), which are also influenced by the season (Nevalainen et al. 2015; Pitkaranta