Russia has said it will press on with its bombing campaign in Syria, as the United Nations pleaded for medical evacuations from war-ravaged Aleppo.
The developments came as former UN secretary general Kofi Annan told Sky News that "proxy wars" in Syria could prolong the five-year-old conflict.
Moscow is supporting a ferocious assault by the forces of Syrian President Bashar al Assad on the rebel-held eastern part of the city.
There have been calls for it to stop bombing Aleppo and join efforts to restore the shattered truce.
But the calls were rejected by Kremlin spokesman Dmitry Peskov, who blamed the US for the latest surge in violence.
He said Russia would "continue the operation of its air force in support of the anti-terrorist activity of Syria's armed forces".
US President Barack Obama and German Chancellor Angela Merkel have condemned the Russian and Syrian airstrikes as "barbarous", according to the White House.
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